An account of hernia pericardii

Hart, Tony

doi:10.1007/bf02972194

Cited by 7 publications

(5 citation statements)

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“…Progress in the field of thoracic surgery ushered a new era in management of these lesions and Otto Pickhardt et al from Lenox Hill Hospital performed the first resection of pericardial cyst in New York in 1931 15 in a 53 year old woman. The first reported incidence of pericardial diverticulum was presented by T. Hart of the Park Street School of Medicine in Dublin, in 1837 16 . Subsequently a new concept of origin of pericardial cysts and diverticula was proposed, according to which pericardial cysts and diverticula represent different stages of a lesion with a common embryonic origin.…”

Section: Historymentioning

confidence: 99%

“…The first reported incidence of pericardial diverticulum was presented by T. Hart of the Park Street School of Medicine in Dublin, in 1837. 16 Subsequently a new concept of origin of pericardial cysts and diverticula was proposed, according to which pericardial cysts and diverticula represent different stages of a lesion with a common embryonic origin. Greenfield et al coined the term ‘springwater cysts’ because of the presence of thin, transparent cyst wall and crystal clear fluid content within the pericardial cyst.…”

Section: Historymentioning

confidence: 99%

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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: Historymentioning

confidence: 99%

Section: Historymentioning

confidence: 99%

Current concepts of diagnosis and management of pericardial cysts

Kar

Ganguly

2017

Indian Heart Journal

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“…Progress in thoracic surgery ushered a new era in management of these lesions and Otto Pickhardt from Lenox Hill Hospital performed the first resection of pericardial cyst in New York in 1931 [10] in a 53 year old woman. The first reported incidence of pericardial diverticulum was presented by T. Hart of the Park Street School of Medicine in Dublin, in 1837 [11]. Later it was found pericardial cysts and diverticula represent different stages of a lesion with a common embryogenesis.…”

Section: Historymentioning

confidence: 99%

“…First description of a pericardial diverticulum by T. Hart of the Park Street School of Medicine in Dublin on autopsy [11].…”

Section: Year Events 1837mentioning

confidence: 99%

Pericardial Cyst: A Review of Historical Perspective and Current Concept of Diagnosis and Management

Kar¹,

Ganguly²,

Dasgupta³

et al. 2015

Interv Cardiol J

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Pericardial cysts are very rare disorder with an incidence of about 1 in 1, 00,000. Pericardial cyst and diverticulum share similar developmental origin and may appear as an incidental finding in chest x ray in an asymptomatic patient. CT scan is considered as best modality for diagnosis and delineation of surrounding anatomy. Cardiac MRI is another excellent tool in diagnosis and evaluation of compressive effect and diffusion weighted cardiac MRI are very helpful for cases with diagnostic confusion. Echocardiography is best modality for follow up and image guided aspiration of the cyst. Conservative management with regular follow up may be considered if the cyst is small, patient is asymptomatic and probability of subsequent complication is low. Surgical resection should be considered in symptomatic patients, large cysts and with high probability of complications. Percutaneous aspiration and ethanol sclerosis is another attractive option.

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“…A pericardial cyst (PC) is a rare incidental finding with an incidence of about 1 in 100,000 patients and makes up about 7% of all mediastinal masses [ 1 ]. First discovered as an incidental finding in an autopsy [ 2 ], PCs are rare intrathoracic structures that occur most commonly due to incomplete fusion in embryogenesis, leading to herniation or weakness in the pericardial sac, forming a diverticulum. This outpouching can either persist as a pericardial diverticulum or form a PC when the communication to the pericardial sac becomes obliterated.…”

Section: Introductionmentioning

confidence: 99%

Pericardial Cyst, A Rare Incidental Finding in an Uncommon Location: A Case Report

Noori¹,

Mohammadian²,

Saeed³

et al. 2022

Cureus

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A pericardial cyst is one of the rare causes of mediastinal masses. Most of the cases are secondary to congenital incomplete fusion of the pericardial sac. More than two-thirds of the cases are present in the right cardiophrenic angle, and the left cardiophrenic angle is the second most common location. In our study, we illustrated an incidental finding of the pericardial cyst in a patient who presented with nonspecific symptoms and was found to have a left-sided cardiophrenic pericardial cyst, which is only found in about 20% of the cases. A CT scan and echocardiogram confirmed the diagnosis of a 4.39-centimeter cyst with no signs of complications like tamponade or pericarditis. As the patient's symptoms resolved, outpatient follow-up with serial echocardiogram was advised. Through this report, we aim to raise awareness of the importance of further investigation for nonspecific symptoms like atypical chest tightness and differentiating simple pericardial cysts from other pericardial lesions. Based on the symptoms, size, and compression effect of the cyst, management may vary from serial echocardiogram to aspiration or surgical resection.

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An account of hernia pericardii

Cited by 7 publications

References 0 publications

Current concepts of diagnosis and management of pericardial cysts

Current concepts of diagnosis and management of pericardial cysts

Pericardial Cyst: A Review of Historical Perspective and Current Concept of Diagnosis and Management

Pericardial Cyst, A Rare Incidental Finding in an Uncommon Location: A Case Report

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