Pericardial pseudocyst along atrioventricular groove (original) (raw)

Pericardial Cyst: A Case Report

2019

Pericardial cysts have an occurrence of 1:100,000 and are commonly noted in the right (70%) or left (22%) cardiophrenic angle [1, 5]. Pericardial cysts are usually benign anomalies that can be congenital or idiopathic. They typically arise from the mesenchymal lacunae that forms the pericardial sac failing to fuse or from a disconnected mesenchymal lacunae which unites to form the pericardial celom. Pericardial cysts originate from the ventral recess of the pericardial celom [1]. Other documented etiologies of pericardial cysts include inflammation, such as rheumatic pericarditis, bacterial infection from tuberculosis, trauma, and post-cardiac surgery [2]. They are rarely found in other locations of the pericardium, specifically the anterior or posterior superior mediastinum (8%). The size of the cyst normally ranges from 1 to 5 cm, with some cases reporting sizes

Symptomatic pericardial cyst: a case series

European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology, 2011

Pericardial cysts are most commonly located at the cardiophrenic angle or, rarely, in the posterior or anterior superior mediastinum. The majority of pericardial cysts are asymptomatic and are found incidentally. Symptomatic pericardial cysts present with dyspnoea, chest pain, or persistent cough. We describe four patients with symptomatic pericardial cysts who were treated with either echocardiographically guided percutaneous aspiration or video-assisted thoracoscopic surgery, or both; thoracotomy; or conservative therapy.

A giant pericardial cyst in an unusual localization

Cardiology Journal, 2012

Pericardial cysts are rareand benign lesions of the heart. They are usually asymptomatic and incidentally diagnosed on chest X-ray. Most are located at the right cardiophrenic angle. Life--threatening complications may be infrequently encountered. We report the case of a 54 year--old male with acute coronary syndrome and a pericardial cyst in an unusual localization. (Cardiol J 2011; 18, x: xx-xx)

Clinical Features, Natural History, and Management of Pericardial Cysts

The American Journal of Cardiology, 2018

With the increased use of medical imaging, there has been an increase in the numbers of pericardial cysts identified. However, there is a paucity of data regarding the clinical course for pericardial cysts. Hence, we aimed to study the clinical features and natural history of pericardial cysts. We retrospectively studied all patients with the diagnosis of pericardial cysts based on Computed Tomography (CT) chest or Cardiac Magnetic Resonance Imaging (CMR) between 2008-2014. The maximum diameter of the cyst was measured at the initial study (CT/CMR) and was compared to the most recent follow-up imaging modality of the same type if available. A change in the maximum diameter more than 10% was considered significant. We included 103 patients in the study; 89% were asymptomatic and 67% were females. Twenty-nine asymptomatic patients had repeat imaging with the same modality (CT/CMR) with a mean follow-up of 23 months. The maximum cyst diameter

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.

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.

Pericardial Cyst: Never Too Late to Diagnose

Journal of Clinical Medicine, 2018

Pericardial cysts are uncommon benign lesions of the middle mediastinum, making up less than 6% of all mediastinal masses. They are often detected as incidental findings on chest imaging and some can resolve spontaneously. Rarely, however, they may cause symptoms of chest pain, right ventricular outflow obstruction, and persistent cough. Furthermore, they may affect cardiac tamponade after acute rupture or cyst haemorrhage resulting in sudden death. We report the case of a 102-year-old woman presenting with urosepsis, in whom routine chest radiography was initially suspicious of advanced bronchial carcinoma. Further imaging supported a diagnosis of one of the largest pericardial cysts described in the literature located in the right parahilar space. The patient was appropriately managed conservatively.

Giant pericardial cyst in a 5-year-old child: A rare anomaly

Annals of Pediatric Cardiology, 2011

Pericardial cysts are uncommon congenital abnormalities that occur in the middle mediastinum. Most of these are found incidentally on chest x-rays. The occurrence of pericardial cyst in children is quite rare. It needs to be differentiated from other cystic mediastinal masses. A rare case of pericardial cyst in a 5 year old male child is reported. The child presented with chest pain, cough and fever. The preoperative diagnosis of pericardial cyst was suggestive on echocardiography and CT scan. It was conirmed on histopathology after successful surgical excision. The rarity of this benign mediastinal lesion in children prompted us to report this case.