“…Initially, the cyst grows slowly between the cardiac fibers and causes no signs or symptoms. Later, it may cause pericardial pain and dyspnea, invade the surrounding structure, obstruct the blood flow, and also invade the conductive system of heart and cause cardiac arrhythmias or conduction blocks [ 2 , 5 ]. Some cases can mimic acute coronary syndrome [ 3 ], and may mandate coronary angiography (CAG).…”