Giant Pericardial Cyst Compressing the Right Ventricle (original) (raw)
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International Journal of Surgery Case Reports
INTRODUCTION: Localized pericardial constriction is a rare form of constrictive pericarditis CP. Depending on the CP location, clinical presentation may be variable, including compression and obstruction of right ventricular inflow tract(RVIT), coronary obstruction, or pulmonary stenosis. CASE PRESENTATION: A 72-year-old man presented a 2-year history of dyspnea and atrial fibrillation. A contrast enhanced angio computerized tomography clearly demonstrated a large spherical mass about 11 × 9 × 4 cm in the anterior pericardium, presenting as a mediastinal tumor causing compression and obstruction of the RVIT. The patient underwent surgical procedure. The outer calcified layer of the pericardial mass was a thick layer of calcification surrounding an inner amorphous low density material. The inferior calcified layer of the pericardial mass which was extremely adherent with the epicardium, was carefully excised, without employment of cardiopulmonary bypass, from the aorta and pulmonary artery origin to the diaphragm and all areas between the right and left phrenic nerves. The final diagnosis was idiopathic CP. DISCUSSION: The clinical presentation was due to right ventricular free wall compression and obstruction of the RVIT by a giant calcified anterior cardiac mass. The differential diagnosis with other calcified masses in the anterior mediastinum such as teratoma, hemopericardium after blunt trauma and idiopathic or tuberculous CP should be considered. CONCLUSION: Herein we report a very rare case with localized CP causing compression and obstruction of RVIT due to a giant anterior calcified cardiac mass, treated successfully with pericardectomy. Careful dissection is mandatory for a successful procedure.
Pericardial cyst with right ventricular compression
The Pan African medical journal, 2012
Pericardial cysts are infrequent and benign mediastinal lesions. While most pericardial cysts are asymptomatic, some patients may present with compression symptoms. We present the case of a 22-year-old man who presented with a right pericardial cyst that caused compression of the right ventricle.
Giant Pericardial Cyst: A Case Report and Review of Literature
Iranian Journal of Radiology, 2015
Pericardial cysts are rare lesions. These benign anomalies are located in the middle mediastinum. In this article, we present a 24-year-old man who was referred to the emergency department with dyspnea and persistent cough. In physical exam, no abnormality was found. His past medical history was normal. His trans-thoracic echocardiogram showed an echo-lucent space next to the right atrium at the right cardiophrenic angle. No pericardial effusion was found. The patient underwent surgery. After midsternotomy, a huge cyst measuring approximately 13 × 8 × 5 cm in diameters was found on the right side and outside the pericardium that was totally excised. After 5 days, the patient was discharged and pathologic report confirmed preoperative diagnosis of pericardial cyst. Giant pericardial cysts are not common and in this report, we will review published case reports.
Diagnosis of Pericardial Cyst Using Multiple Cardiac Imaging Modalities
OMICS Journal of Radiology, 2015
Pericardial cysts are rare mediastinal abnormalities. We report on a 54-year-old male, who was found to have a large right-sided pericardial cyst incidentally. Multiple imaging modalities including 2D echocardiography, contrast echocardiogram with DEFINITY, transesophageal echocardiography and CT scan were used to delineate the features of the pericardial cyst. Patient was asymptomatic and was managed conservatively.
A Large Pericardial Cyst Complicated by a Pericarditis in a Young Man With a Mediastinal Mass
The Annals of Thoracic Surgery, 2009
This is a case report of a 30-year-old man who presented with acute right-sided pleuritic chest pain. A chest roentgenogram performed in the emergency room shows a large, well-circumscribed transparent lesion obscuring the right heart border. Further imaging revealed a large pericardial cyst. The patient was taken to surgery as a result of clinical deterioration, and the knowledge that large pericardial cysts, although usually benign, can cause serious complications, including death. Pathology revealed an inflamed pericardial cyst with fibrinous pericarditis.
Journal of The American Society of Echocardiography, 2002
Pericardial cysts are not common and rarely cause symptoms. We report 2 cases of atypically located pericardial cysts with hemodynamic compromise because of the direct compression of the pulmonary veins and the right pulmonary artery. In the first case, transesophageal echocardiography (TEE) disclosed a round cystic mass compressing the posterior wall of the right pulmonary artery, with blood flow reduction
Giant pericardial cyst mimicking dextrocardia on chest X-ray
Revista Portuguesa de Cardiologia, 2013
Pericardial cysts are rare benign congenital malformations, usually small, asymptomatic and detected incidentally on chest X-ray as a mass located in the right costophrenic angle. Giant pericardial cysts are very uncommon and produce symptoms by compressing adjacent structures. In this report, the authors present a case of a symptomatic giant pericardial cyst incorrectly diagnosed as dextrocardia on chest X-ray. Quisto pericárdico; Telerradiografia de tórax Quisto pericárdico gigante a imitar dextrocardia na telerradiografia de tórax Resumo Os quistos pericárdicos são malformações congênitas benignas raras. Habitualmente. são de pequena dimensão, assintomáticos e detectados de forma acidental na telerradiografia de tórax, como uma massa localizada no ângulo costofrênico direito. Grandes quistos pericárdicos são ainda mais raros e produzem sintomas por compressão de estruturas adjacentes. Neste artigo, os autores apresentam um caso clínico de um quisto pericárdico gigante e sintomático previamente diagnosticado como uma dextrocardia em telerradiografia de tórax.