Pericardial cysts are an infrequent entity. In the literature reference is made to a prevalence of 1/100000 over the general population. They are usually of congenital origin and only rarely are they acquired. Despite the fact that the most frequent clinical presentation is asymptomatic and the prognosis is benign, important complications have been described. The case we detail is interesting because the main symptom was syncope and it was associated with an obstruction of the right ventricle outflow tract. The diagnosis was made through imaging tests such as transthoracic echocardiography, transesophageal echocardiography, and magnetic resonance imaging. The orderly and adequate use of the imaging studies allowed to make the most appropriate decision for the patient. We opted for surgical treatment due to the location of the pericardial cyst and to avoid complications such as rupture.Key words: syncope, pericardial cyst resumen Los quistes pericárdicos son una entidad infrecuente. En la literatura se hace referencia a una prevalencia de 1/100000 sobre la población general. Suelen ser de origen congénito y solo en raras ocasiones son adquiridos. A pesar de que la forma de presentación clínica más frecuente es asintomática y el pronóstico es benigno, se han descrito importantes complicaciones. El caso que detallamos es interesante debido a que el síntoma principal fue el síncope y estuvo asociado a una obstrucción del tracto de salida del ventrículo derecho. El diagnóstico se realizó mediante las pruebas de imágenes como ecocardiografia transtorácica, ecocardiografía transesofágica, resonancia magnética. El uso ordenado y adecuado de los estudios de imágenes permitió tomar la decision más adecuada para el paciente. Optamos por el tratamiento quirúrgico debido a la localización del quiste pericárdico y para evitar complicaciones como su ruptura.
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