CT diagnosis of pericardial cysts

Pugatch, Robert D.; Braver, JH; Robbins, AH; Faling, LJ

doi:10.2214/ajr.131.3.515

Cited by 39 publications

(4 citation statements)

References 9 publications

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“…Since the late 1970s, computed tomography (CT) and magnetic resonance (MR) imaging have emerged as interesting alternatives to echocardiography for morphologic assessment of the heart and pericardium (Table 1) (12)(13)(14)(15). In recent years, improvements in MR imaging hardware and sequence design have further enhanced the diagnostic value of this modality for the study of pericardial disease.…”

mentioning

confidence: 99%

Pericardial Disease: Value of CT and MR Imaging

Bogaert

Francone²

2013

Radiology

193

151

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mentioning

confidence: 99%

Pericardial Disease: Value of CT and MR Imaging

Bogaert

Francone²

2013

Radiology

193

151

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“…Podem ser diagnosticados com radiografias, fluoroscopia, ecocardiografia, tomografia computadorizada e ressonância magnética. Seu diagnóstico pode ser dificultado em duas situações: quando a aparência na radiografia do tórax não é usual, isto é, a lesão não se localiza no ângulo cardiofrênico direito, ou mais raramente no esquerdo, ou quando seu achado radiográfico ocorre em paciente sintomático (5) . Juhl (6) relata que, quando se encontra um pequeno cisto na região do ângulo cárdio-hepático, este pode estender-se para a cissura interlobar primária.…”

Section: Discussionunclassified

Cisto de pericárdio: uma apresentação incomum

2001

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Tumores e cistos do coração são raros. A proposta deste artigo é apresentar um caso de cisto pericárdico com aspecto radiográfico atípico, diagnosticado por ecocardiograma transtorácico. A paciente referia sensação de desconforto no hemitórax esquerdo e observou-se, nas radiografias do tórax, a presença de massa contígua ao coração no seio cardiofrênico direito. Os autores também fazem uma sucinta revisão do assunto.

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“…Other atypical CT findings include the presence of calcification, a sharp upper border 25,44,86 and the presence of associated pericardial effusion. Moreover, MDCT can show stalks connecting PPCs to the pericardium, thus a certain diagnosis can be established even for PPCs in unusual locations 48,[87][88][89][90][91][92][93] . PPC torsion can also get depicted via a CT scan as a mass of soft tissue in which there is an internal intertwine with fat and soft tissue attenuation, called the ''whirl sign'' which was first described in intestinal volvulus 28,94,95 .…”

Section: Diagnostic Approach-differential Diagnosismentioning

confidence: 99%

Pleuropericardial Cyst: A Review of the Literature

Koumantzia¹,

Saridakis²,

Eleftheriou³

2019

J Cardiol and Cardiovasc Sciences

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Background: Pleuropericardial cysts (PPCs), account for 5 -10% of all mediastinal tumours, are rare lesions occurring in approximately 1 in 100000 persons and are usually congenital and rarely acquired. They are detected postmortem or incidentally on routine chest X-ray (CXR) and in most cases multi detector Computer Tomography is used to confirm the diagnosis. As benign course and clinical latency are characteristic features of such cysts and the occurrence of complications is rare, the majority of them can be left untreated. Methods:The aim of the study is to review the literature regarding PPCs and create a table which summarises all the published cases in order to draw a conclusion about the epidemiology, as well as the diagnostic and therapeutic approach to PPCs exclusively. We reviewed retrospectively the clinical manifestation, diagnostic and therapeutic approach in 101 cases of PPCs since the 19 th century Results: Our statistical analysis led to the following results: mean age of initial detection: 48.7 ± 17.2 years, female:male ratio: about 3:2, presence of symptomatology: 37/101 cases, most common location: right cardiophrenic angle (RCPA), most common method of initial detection: CXR in 49/101 cases, mean maximal diameter: 8,3 ± 3 cm. Conclusion:The management of a pleuropericardial cyst should be based on an algorithm in which the cyst's size, shape and compressibility along with clinical presentation and patient's fitness and preferences are be taken into consideration. When interventional is required, surgical resection by means of traditional open surgery or minimally invasive methods are considered to be the gold standard and along with percutaneous aspiration are the methods that have mostly been used.

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CT diagnosis of pericardial cysts

Abstract: those of cystic lesion.

Cited by 39 publications

References 9 publications

Pericardial Disease: Value of CT and MR Imaging

Pericardial Disease: Value of CT and MR Imaging

Cisto de pericárdio: uma apresentação incomum

Pleuropericardial Cyst: A Review of the Literature

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