Giant Pericardial Cyst: A Case Report and Review of Literature

Hekmat, Manouchehr; Ghaderi, Hamid; Tariq, Hassan; Shabestari, Abbas Arjmand; Mirjafari, Seyedeh Adeleh

doi:10.5812/iranjradiol.21921

Cited by 25 publications

(53 citation statements)

References 14 publications

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“…Pericardial cysts are considerably rare, with an overall incidence of 1 in 100,000 patients, and constitute 6% of all mediastinal masses (3). In line with this statement and to the best of our knowledge, approximately 25 striking cases and literature reviews have been published and cited in conventional citation indices since 2001 (1,4,5). These cysts are usually unilocular, well-delineated spaces encapsulated by a fibrous wall which is lined with mesothelium.…”

Section: Discussionmentioning

confidence: 69%

Huge Pericardial Cyst with Compressing Effects on the Right-Heart Chambers

Omaygenç¹,

Karaca²,

Çakal³

et al. 2016

Arch Cardiovasc Imaging

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Introduction: Pericardial cysts are rare abnormalities of the mediastinum and generally have a benign course. Patients are mostly asymptomatic, and diagnosis is established incidentally in a majority of cases. The management of this asymptomatic population is also controversial. Case Report: We report a huge pericardial cyst, located at the right cardiophrenic angle impairing ventricular filling properties without causing evident symptoms. The cyst was almost 13 cm in the largest diameter. Echocardiography and computed tomography scan were utilized not only to confirm the diagnosis, but also to determine the treatment strategy. Conclusions: Surgical or percutaneous interventional treatment for pericardial cysts might be occasionally necessary, depending on the location of the cyst and its relationship with the adjacent structures. Unfortunately, our patient refused any kind of treatment option. Based on this report, the course of the disease, diagnostic modalities, and treatment strategies in general manner were additionally discussed.

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Section: Discussionmentioning

confidence: 69%

Huge Pericardial Cyst with Compressing Effects on the Right-Heart Chambers

Omaygenç¹,

Karaca²,

Çakal³

et al. 2016

Arch Cardiovasc Imaging

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“…Reports of dyspnea, fever, pleuritic chest pain, syncope, weight loss, cardiac tamponade, pneumonia and palpitations have been described [3]. In this case report, we describe an atypical presentation of a pericardial cyst discovered incidentally on X-ray.…”

Section: Introductionmentioning

confidence: 80%

“…These medullated fibers respond to stretching, pulling or touching of the pericardium [5]. However, the majority of pericardial cysts are indeed asymptomatic [3]. Due to the ability of pericardial cysts to become infected, systemic symptoms and cardiac complaints should be evaluated actively [6].…”

Section: Discussionmentioning

confidence: 99%

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An atypical presentation of a pericardial cyst

Sahni

Vijayanagar

Bala³

et al. 2017

Oxford Medical Case Reports

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A pericardial cyst is a benign and rare congenital anomaly. The presentation of pericardial cysts varies with the extent of mediastinal involvement. Complaints can include dyspnea, pleuritic chest pain and systemic symptoms; however, the majority are asymptomatic. Imaging modalities such as MRI, CT and X-ray can visualize the cysts. Treatment approach includes aspiration or surgical resection. We describe an atypical presentation of a pericardial cyst and subsequent treatment and recommendations for these rare anomalies.

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“…Intensive follow-up program is recommended for asymptomatic patients. Large sized, symptomatic and/or complicated cysts or those carrying suspicion of malignancy may be resected [7][8][9] . This case demonstrates the importance of pericardial cysts and its rare complications such as cardiac compression and shortness of breath.…”

mentioning

confidence: 99%

A giant pericardial cyst as a rare cause of shortness of breath

Kocabaş¹,

Pekçolaklar²

2018

GKDA Derg

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A 51-year-old man presented to our outpatient clinic with symptoms of atypical chest pain and shortness of breath. His medical history, physical examination and electrocardiography findings were unremarkable. Transthoracic echocardiography revealed normal valvular functions, normal-sized cardiac chambers, and left ventricular ejection fraction was 67% as calculated based on modified Simpson's method. Two-dimensional transthoracic echocardiography subcostal view showed an echo-free space next to the right atrium at the right cardiophrenic angle (Figure 1). Continuous wave Doppler echocardiography demonstrated respiratory changes in right ventricular diastolic filling, increased respiratory variations in transtricuspid diastolic flow and dilated inferior vena cava due to severe right atrial compression by a giant pericardial cyst. Magnetic resonance imaging revealed an oval mass in the right cardiophrenic angle measuring 8.2 × 5.1 × 6.4 cm with low intensity on T1-weighted images and homogeneous high intensity on T2-weighted images without contrast enhancement consistent with pericardial cyst (Figures 2a-d). The patient was referred to cardiothoracic surgery. After general anaesthesia and a right-sided thoracotomy, the pericar- alındığı tarih:

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Giant Pericardial Cyst: A Case Report and Review of Literature

Cited by 25 publications

References 14 publications

Huge Pericardial Cyst with Compressing Effects on the Right-Heart Chambers

Huge Pericardial Cyst with Compressing Effects on the Right-Heart Chambers

An atypical presentation of a pericardial cyst

A giant pericardial cyst as a rare cause of shortness of breath

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