Giant Pericardial Cyst Research Articles

Abstract 12877: Giant Pericardial Cyst Causing Syncope

A 30 year old male presented with episodes of near syncope with dizziness, palpitations, chest tightness, and left arm paresthesias. Upon presentation, his vitals were normal. Initial imaging of a chest radiograph showed an enlarged cardiac silhouette and a follow-up chest CT demonstrated a 10 cm cystic mass in the anterior mediastinum concerning for a giant pericardial cyst. Echocardiogram was performed which showed a normal ejection fraction, no valvular abnormalities, and a trivial pericardial effusion. A CT-guided drainage was performed with 440mL of fluid removed and shrinkage of the cyst to 27x63mm. The aspirate was loaded with leukocytes without organisms identified. The following day, the cyst recollected to 85x69mm. Repeat CT-guided drainage was attempted however was unsuccessful due to right pneumothorax. After resolution of the pneumothorax, he was asymptomatic prompting discharge with close outpatient follow-up. Outpatient imaging demonstrated increased size of the pericardial cyst to 11 cm in diameter. A third drainage via CT-guidance was attempted however only minimal fluid was able to be drained. As the patient remained asymptomatic, it was recommended the patient have repeat imaging in 6 months and monitor for symptoms. Pericardial cysts are relatively rare and comprise 7% of mediastinal masses. They originate from failed fusion of the mesenchymal lacunae that form the pericardial coelom. Pericardial cysts typically range from 1 to 5 cm in diameter, with those over 10cm being termed 'giant pericardial cysts'. Most cysts are asymptomatic, although if symptoms do occur they are generally in response to mass effect and compression of local structures, such as shortness of breath and chest discomfort. If a patient remains asymptomatic, conservative management with serial imaging is recommended. However, if a patient becomes symptomatic or develops complications, surgical management via a pericardectomy or percutaneous aspiration is recommended.

Giant Pericardial Cyst with Thymic and Pancreatic Tissue

Crailsheim Ingo1*, Krenbek Dagmar1, Bonatti Johannes1, Winkler Bernhard1 and Grabenwöger Martin1,2 Author Affiliations 1Department of Cardiac and Vascular Surgery, Vienna North Hospital and Karl Landsteiner Institute of Cardiovascular Surgical Research, Austria 2Sigmund Freud University, Medical Faculty, Vienna, Austria Received: November 06, 2020 | Published: November 18, 2020 Corresponding author: Ingo Crailsheim, Department of Cardiac and Vascular Surgery, Vienna North Hospital and Karl Landsteiner Institute of Cardiovascular Surgical Research, Austria DOI: 10.26717/BJSTR.2020.32.005181

Finally, that weight is off my chest! Giant pericardial cyst causing acute right heart failure 11 years after incidental diagnosis.

Finally, that weight is off my chest! Giant pericardial cyst causing acute right heart failure 11 years after incidental diagnosis.

Giant pericardial cyst as the cause of syncope.

Giant pericardial cyst as the cause of syncope.

A Giant Mesenchymal Pericardial Cyst: A Rare cause of Hoarseness of Voice, Case Report and Review of Literature

A Giant Mesenchymal Pericardial Cyst: A Rare cause of Hoarseness of Voice, Case Report and Review of Literature

Giant congenital pericardial cyst in a 47-year-old male: The first reported case from a cardiovascular center

Giant congenital pericardial cyst in a 47-year-old male: The first reported case from a cardiovascular center

A giant pericardial cyst as a rare cause of shortness of breath

A giant pericardial cyst as a rare cause of shortness of breath

Giant Pericardial Cyst - Eroding Left Ventricle

Pericardial cyst is the result of an outpuching of the parietal pericardium that is lined by mesothelial cells. They represent 6% of mediastinal masses, and 33% of mediastinal cysts. Other cysts in the mediastinum are brochogenic-34%, enteric-12%, thymic and others-21%. A 19 year old man admitted with exertional breathlessness and a typical chest pain. The result of physical examination was within normal linits. Resting 12-lead electrocardiography shows T inversion in lead 1, AVL, V5 and V6. A posteroanterior chest radiograph revealed a cystic mass in the mediastinum. Transthoracic and transoesophageal echocardiography confirmed the presence of a large fluid filled cyst within the pericardial space. Contrast CT imaging revealed a giant pericardial cyst (10x10x12cm) in left cardiophrenic angle, later confirmed intraoperatively and by histopathology. Pericardial cysts occur at the rate of 1 person per 100,000. Seventy five percent of them have no associated symptoms, and are usually found incidentally during routine chest x-ray or echocardiography. Cardiac tamponade, obstruction of right main stem bronchus, and sudden death are the life threatening emergencies that have been reported. The management of pericardial cysts includes observation, percutaneous drain-age, and resection.

Giant tubercular pericardial cyst leading to tamponade physiology.

A 56-year-old woman admitted to our department with chief complaints of fever, cough, dyspnoea since 3 months. No significant history. Physical examination revealed paradoxical pulse, raised JVP with prominent X, and absent Y descent. No other abnormal finding on physical examination. X-ray chest showed obliteration …

Giant calcific pericardial cyst: certainly unexpected during primary percutaneous coronary intervention

Pericardial cyst is a rare congenital anomaly that is usually diagnosed during evaluation for right-sided heart failure. We report a 50-year-old man with a primary diagnosis of ST-segment elevation myocardial infarction at admission, whose emergent angiography revealed a calcific mass close to right coronary artery. Further analysis of the mass with computed tomography and three-dimensional echocardiography revealed a giant pericardial cyst causing partial obstruction of superior vena cava. Unlike previous cases reported, the patient had no symptoms compatible with right-sided heart failure.

Common Symptoms with Rare Entity: A Giant Pericardial Cyst

Common Symptoms with Rare Entity: A Giant Pericardial Cyst

PP-069 Multimodality Imaging of a Cystic Thymoma Simulating a Giant Pericardial Cyst

Pericardial cysts are quite rare and most of them have no associated symptoms and are incidental findings. Nonetheless, symptoms, if present, include atypical chest pain, dyspnea, and persistent cough. They are typically found in the right cardiophrenic angle. Treatment options include surgical resection or percutaneous aspiration of the cyst. We report a multimodality imaging and management of a case of giant pericardial cyst associated with persistent cough.

Asymptomatic giant pericardial cyst mimicking dextrocardia on chest X-ray

Asymptomatic giant pericardial cyst mimicking dextrocardia on chest X-ray

Giant pericardial cyst mimicking dextrocardia on chest X-ray

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.

Giant pericardial cyst mimicking dextrocardia on chest X-ray

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.

A giant pericardial cyst in an unusual localization

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.

Surgical Resection of a Rapidly Growing Giant Pericardial Cyst: A Case Report

We report here a case of a patient who underwent surgical resection of a giant pericardial cyst that was growing rapidly, causing anterior chest pain. An asymptomatic 56-year-old woman underwent a complete medical checkup in a health-care center. Her chest X-ray showed an unusually large bulge on the left cardiac border, and she was referred to our hospital. The chest X-ray taken 2 years ago in another hospital showed similar bulge on the same left cardiac border, but it was noticeably smaller. Chest CT revealed a 9.5 × 4.5 cm pericardial cyst within the anterolateral aspect of the left cardiac border. The CT number of the mass was approximately 15 - 20 HU. The mass also showed slight hyperintensity on T1-weighted MR images and hyperintensity on T2-weighted MR images. Four weeks later, she experienced anterior chest pain for the first time, and the chest X-ray and CT showed an increase in the size of the pericardial cyst. The CT number of the mass increased to approximately 30 - 40 HU. The cyst was successfully removed by video-assisted thoracic surgery. The pericardial cyst was diagnosed as benign according to the results of histopathology. We conclude that the rapid growth of the pericardial cyst was caused by intracystic hemorrhage that originated from vascularized connective tissue in the cyst wall.

A giant pericardial cyst

Pericardial cysts are rare, benign, congenital anomalies. Most are asymptomatic and are found incidentally on chest radiographs. Some may cause symptoms and complications. Giant pericardial cysts are even more rare, and few reports on their natural history, presentation and management are available. This report describes a giant pericardial cyst that exerted pressure on the heart and lungs and was excised surgically. Subsequently, the patient has been asymptomatic for nine years and appears to be in complete remission.

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

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 confirmed on histopathology after successful surgical excision. The rarity of this benign mediastinal lesion in children prompted us to report this case.

Surgical resection of a giant pericardial cyst showing a rapidly growing feature

This report presents an extremely rare case of a rapidly growing giant pericardial cyst which was surgically removed 20 years after the first detection. A 38-year-old asymptomatic male was referred because of rapidly growing mass on the right diaphragm. This lesion was detected about 20 years earlier and checked by a chest roentgenogram once a year. However, this lesion showed rapid growth over the last year, therefore surgical removal was performed. A pathological examination revealed this lesion as a giant pericardial cyst without inflammatory, hemorrhage or malignant cells. Therefore, there was no pathological explanation for the rapid growth of this cyst. In conclusion, general thoracic surgeons should be aware of the possibility of rapid growth, even if the diagnosis is a pericardial cyst.