Hemorrhage Into a Pericardial Cyst and Associated Right Ventricular Compression After Blunt Chest Trauma

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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“…Rupture into the pericardial sac 62 II. Hemorrhage within the pericardial cyst39, 55, 56, 63III. Hydatid pericardial cyst rupture 64 4.…”

Section: Diagnosismentioning

confidence: 99%

“…Pankaj Kaul et al 54 described a case of massive benign pericardial cyst in a 66 year old woman presenting with congestive chest symptoms and with features of right heart failure. Haemorrhage within the pericardial cyst cavity may occur spontaneously39, 55 or may result from external thoracic trauma 56 …”

Section: Complicationsmentioning

confidence: 99%

Current concepts of diagnosis and management of pericardial cysts

Kar

Ganguly

2017

Indian Heart Journal

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“…Occasionally, they may alter the cardiovascular hemodynamics or lung expansion and produce signs and symptoms that mimic tricuspid stenosis, pulmonary stenosis or constrictive pericarditis [9]. In this study, symptoms of right ventricular failure were present secondary to compression of the right chambers, as evidenced by echocardiography.…”

Section: Discussionmentioning

confidence: 70%

“…However, we emphasize the fact of being a bodybuilding patient with a history of recent chest trauma, causing an increase in previously asymptomatic cyst. Thus, the compression of the right heart chambers and heart failure associated may be present in an asymptomatic patient with pericardial cyst after chest trauma [9]. In fact, the patient reported onset of symptoms four weeks after the trauma.…”

Section: Discussionmentioning

confidence: 99%

Grande cisto pericárdico manifestando-se com compressão das câmaras cardíacas direitas

Martins¹,

Fernandes²,

Gelape³

et al. 2011

Rev Bras Cir Cardiovasc

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“…Hemorrhage into a pericardial cyst following blunt trauma to the chest results in tamponade. Compression and right ventricular failure has also been reported 2 . Spontaneous hemorrhage into the cyst in a young adult resulting right ventricular compression and recurrent syncope has also been reported 4 .…”

Section: Introductionmentioning

confidence: 98%

Pericardial cyst causing cardiac compression and shunt reversal at atrial level

et al. 2018

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Pericardial cyst is a rare disorder with incidence of 1:100000 and is usually asymptomatic. Atrial septal defect on the other hand has incidence of 1.6:1000 live births with 97% chance of survival till adulthood and rarely causes Eisenmenger syndrome in early adulthood. We present a case where there was dramatic occurrence of sudden hypoxia and features of right heart failure in otherwise healthy adult because of the combination of these two entities.

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Hemorrhage Into a Pericardial Cyst and Associated Right Ventricular Compression After Blunt Chest Trauma

Cited by 9 publications

References 8 publications

Current concepts of diagnosis and management of pericardial cysts

Current concepts of diagnosis and management of pericardial cysts

Grande cisto pericárdico manifestando-se com compressão das câmaras cardíacas direitas

Pericardial cyst causing cardiac compression and shunt reversal at atrial level

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