Submissions should be made via our electronic submission system at http://ees.elsevier.com/ thelancet/ This letter is an an initiative of SIAARTI, and is endorsed by Gonzalo Barreiro (President of the World Federation of Societies of Anaesthesiologists [WFSA]), Zeev Goldik (President of the European Society of Anaesthesiology [ESA]), Jannicke Mellin-Olsen (Secretary of the ESA and President-Elect of the WFSA) and many national and international societies (see appendix for a full list of societies). AC is the President of SIAARTI. FP is the President-Elect of SIAARTI and an ESA National Anaesthesiologists Societies Committee (NASC) delegate. EDR is Treasurer of the European Board of Anaesthesiology (EBA) section of the European Union Medical Specialities (UEMS). We declare no competing interests.
Patient: Male, 30Final Diagnosis: Benign pericardial schwannomaSymptoms: Chest painMedication: —Clinical Procedure: —Specialty: SurgeryObjective:Rare diseaseBackground:Primary pericardial tumors have a prevalence of between 6.7% and 12.8% of all tumors arising in the cardiac region. Pericardial schwannoma is a rare entity. It arises from the cardiac plexus and vagus nerve innervating the heart. Most of the reported cases, have presented with benign behavior, however, in rare situations, they can undergo transformation to malignant behavior When comparing the prevalence of cardiac tumors to that of pericardial tumors, the latter is much lower in occurrence. A review of English literature identified six pericardial schwannoma cases.Case Report:We present a case of a 30-year-old male patient who presented to our center with the chief complaint of six months of gradually progressive left chest pain. His past medical history (PMH) was positive for panic attacks (for which he was taking beta-blockers), paroxysmal tachycardia, sweating, and irritability. A computed tomography chest scan was done; a differential diagnosis of paraganglioma was suggested. However, histopathological examination confirmed the pericardial mass was a schwannoma. The patient was surgically treated by thoracotomy to resect the lesion.Conclusions:This case adds to the existing limited literature on pericardial schwannoma as the seventh reported case. Neurogenic cardiac tumors; our case marks the second case reported to occur in the subcarinal area near the left atrium.
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