Pericardial Cysts: An Analysis of 12 Cases

Alar, Timuçin; Bayram, Ahmet Sami; Gebitekin, Cengiz

doi:10.1089/lap.2011.0034

Cited by 7 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PCs are usually diagnosed in the third or the fifth decade of life, although they were identified in patients of all ages [ 2 ], from a one-year-old boy [ 19 ] up to a 102-year-old woman [ 8 ]. Regarding gender, the female/male ratio in PCs varies among different reports from 1:1 [ 1 ] to 2:3 [ 20 ], 3:2 [ 5 ], and 8:4 [ 2 , 21 ], partially due to the difficulty of large study groups set up. We found a median age of 58 years at the time of PCs diagnoses and a women’s predominance (4/5 of cases), while the difference in the diagnosis age in our research, unlike the current literature data, is most probably related to the limited number of patients included in our study.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic pericardial cysts and dilemmas in their diagnosis

Grigoraş,

Amălinei,

Căruntu

et al. 2024

Rom J Morphol Embryol

View full text Add to dashboard Cite

Pericardial cysts (PCs) or pleuropericardial cysts are rare congenital mediastinal lesions with an approximate incidence of one in 100 000 persons. Usually, they are asymptomatic, being incidentally discovered during a routine chest imaging examination or an autopsy exam. The study involved a retrospective evaluation of clinicopathological findings in a 6-year series of PCs, treated in the Clinic of Pulmonary Diseases, Iaşi, Romania. A group of five cases of PCs, four females and one male, were evaluated. All patients displayed different symptoms, such as dyspnea, chest pain, chronic cough, fatigue, palpitation, and epigastric pain. The cystic lesions were located in the right and left cardiophrenic angle, in four cases, and in the central mediastinum in a single case. The lesions had a fluid content and a maximum diameter that ranged between 35 and 95 mm. The microscopic examination of the surgical resection tissues revealed a thin connective tissue wall without any associated smooth muscle cells. The loose connective tissue band was lined by a layer of mesothelial cells with no cellular atypia, which displayed discrete papillary projections, in one case. Although PCs are rare incidental findings, they should be considered in differential diagnoses of mediastinal cysts, especially as they are associated with non-specific symptoms. Furthermore, considering the possibility of development of severe complications, PCs should be thoroughly explored for suitable patients’ management.

show abstract

Section: Discussionmentioning

confidence: 99%

Symptomatic pericardial cysts and dilemmas in their diagnosis

Grigoraş,

Amălinei,

Căruntu

et al. 2024

Rom J Morphol Embryol

View full text Add to dashboard Cite

show abstract

“…More specifically, less than 20 cases in children have been reported in the literature 25 . As far as gender is concerned, the female: male ratio varies among many studies and it has been described to be 1:1 22 , 8:4 26 and 2:3 8 . Finally, PPCs can be associated with other diseases such as Fanconi anaemia 27,28 .…”

Section: Discussionmentioning

confidence: 99%

“…Apart from traditional open surgery, resection of mediastinal masses including PPCs has been carried out successfully by VATS or VATS with mini-thoracotomy since 1992 26,32,111,[117][118][119][120][121][122] . These minimally invasive procedures reduce surgical trauma and postoperative pain compared to open surgery leading to a shorter period of recovery and hospitalisation 123,124 .…”

Section: Therapeutic Approachmentioning

confidence: 99%

Pleuropericardial Cyst: A Review of the Literature

Koumantzia¹,

Saridakis²,

Eleftheriou³

2019

J Cardiol and Cardiovasc Sciences

View full text Add to dashboard Cite

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.

show abstract

Congenital Pericardial Anomalies

Saremi

2013

Cardiac CT and MR for Adult Congenital Heart Disease

View full text Add to dashboard Cite

Pericardial Cysts: An Analysis of 12 Cases

Abstract: Videothoracoscopic surgical removal of pericardial cysts is an excellent surgical intervention without serious morbidity and mortality.

Cited by 7 publications

References 20 publications

Symptomatic pericardial cysts and dilemmas in their diagnosis

Symptomatic pericardial cysts and dilemmas in their diagnosis

Pleuropericardial Cyst: A Review of the Literature

Congenital Pericardial Anomalies

Contact Info

Product

Resources

About