A Large Pericardial Cyst Complicated by a Pericarditis in a Young Man With a Mediastinal Mass

McMillan, Alexandra; Souza, Carolina A.; Veinot, John P.; Turek, Michel; Hendry, Paul; Alvarez, Gonzalo G.

doi:10.1016/j.athoracsur.2009.05.024

Cited by 12 publications

(6 citation statements)

References 6 publications

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“…Compression of lung: Obstruction of the right main stem bronchus, Compression of the adjacent lobes of the lung2. InflammationPericarditis 60 , Infected pericardial cyst 61 3. Cardiac tamponadeMay occur due toI.…”

Section: Diagnosismentioning

confidence: 99%

Current concepts of diagnosis and management of pericardial cysts

Kar

Ganguly

2017

Indian Heart Journal

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Pericardial cysts are rare with an incidence of about 1 in every 100,000 persons and one in 10 pericardial cysts may actually be a pericardial diverticulum. Pericardial cysts and diverticula share similar developmental origin and may appear as an incidental finding in chest roentgenogram in an asymptomatic patient. CT scan is considered as best modality for diagnosis and delineation of the surrounding anatomy. Cardiac MRI is recommended in the evaluation of the compressive effects caused by the pericardial cysts. The authors recommend echocardiography for serial follow up and image guided aspiration of the pericardial cyst in presence of compressive effects leading to cardiovascular and airway symptoms. A systematic approach is desirable for management of pericardial cysts depending on size, shape and compression effects, symptoms and easy access to serial Echocardiographic follow up. However, pericardial diverticulum may not be differentiated from cysts by the above testing, and only identified at surgery.

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Section: Diagnosismentioning

confidence: 99%

Current concepts of diagnosis and management of pericardial cysts

Kar

Ganguly

2017

Indian Heart Journal

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“…1,2 Complications such as superior vena cava syndrome, rupture into the tracheobronchial tree, pericardial tamponade, and sudden death have been reported for both types of mediastinal lesions. [2][3][4][5][6][7][8] Therefore, surgical excisioneven for an asymptomatic presentationis always recommended. Most mediastinal mature teratomas arise in the anterior mediastinum with a tendency towards left-sided predominance, followed by the posterior mediastinum (3%), and multicompartmental extension (13%).…”

Section: Discussionmentioning

confidence: 99%

“…Measurements of fluid attenuation values ranging from 0.3 to 15 Hounsfield units indicate a cystic lesion with fluid as the dominant medium. 3,4 However, even for pericardial cysts, masses filled with partly hemolyzed blood and fibrin, or cysts filled with clear fluid, mural fibrin and yellowish strands of tissue within. 4 have been reported In our patient, CT, MRI scan, and sonographic evaluation showed a cystic mass in the right costophrenic angle, adherent to the pericardium.…”

Section: Discussionmentioning

confidence: 99%

Pericardial Cyst or Teratoma? Change of Strategy during Mediastinal Tumor Surgery

Rüffer

Webinger

Glöckler

et al. 2011

Thorac cardiovasc Surg

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This report describes the management of an 8 × 8-cm cystic mass that arose from the anterior mediastinum and prolapsed into the right pleural cavity adherent to the pericardium in an asymptomatic 16-year-old girl. The patient was scheduled for a video-assisted thoracoscopic operation with exposure, puncture and suction of a suspected pericardial cyst. However, during the procedure the strategy was changed due to the solid consistency of the mass, and the lesion was extirpated in toto by a short anterolateral thoracotomy. The complete histopathological investigation showed a highly fibrous, cystic, mature teratoma.

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“…Failure of enhancement is due to intactness of wall in relation to cardiac chambers (4,8,9). The three modalities of PC treatment include, follow-up with symptomatic management, non-surgical intervention by percutaneous cyst content drainage, and enblockly resection of the mass.…”

Section: Discussionmentioning

confidence: 99%

Right Para Cardiac Pericardial Cyst

Haydari¹,

Sabzi²,

Dabiri³

et al. 2017

Multidiscip Cardio Annal

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The reported annals incidence of pericardial cysts (PC) in medical literature varies from 1/100000 to 1/120000. They are usually incidentally found during a thoracic or cardiac surgery or by an imaging modality by chance or remain clinically asymptomatic until the 3rd or 4th decades of life. However, in rare cases, compression or rupture of cysts into the surrounding structures, lead to the appearance of symptoms that may further be diagnosed by imaging modalities. We report the case of a 35-year-old man, with presentation of palpitation and chest pain and dyspnea. A transthoracic echocardiography (TTE) and computed tomography (CT scan) confirmed the presence of a cystic lesion the in right lower cardiac border. With the impression of a hydatid cyst, he has undergone open cardiac surgery and during mediastinal exploration a well-defined cyst filled with pasty and thrombotic materials was found intrapericardialy that was attached to the right atrial wall. The cyst with the inflammatory thick wall was enblockly resected. In the histological examination, diagnosis of pericardial cyst was confirmed. The postoperative phase was uneventful and during 6 months of follow-up he was good with no pericardial effusion on TEE.

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A Large Pericardial Cyst Complicated by a Pericarditis in a Young Man With a Mediastinal Mass

Cited by 12 publications

References 6 publications

Current concepts of diagnosis and management of pericardial cysts

Current concepts of diagnosis and management of pericardial cysts

Pericardial Cyst or Teratoma? Change of Strategy during Mediastinal Tumor Surgery

Right Para Cardiac Pericardial Cyst

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