Abstract
Background: In this study, we aimed to present 15 pericardial cyst cases -diagnosed and treated via surgical resection- with their demographic charecteristics and radiological views, in the light of the literature.Material and Methods:Fifteen patients operated between March 2007 - March 2013 due to pericardial cysts were evaluated retrospectively.Results: The mean age of the 9 female and 6 male patients was 50,26 . Fifty percent of male and %33.3 of the female patients were asymptomatic. In thorax computed tomography lesion average sizes were 9,13 cm , and placement was mainly in the right hemithorax (%40). Atypical placement was observed in 4 patients while 6 of the lesion sizes were larger than 10 cm. Video-assisted thoracoscopic surgery was performed in three cases, videomediastinoscopy in one, and posterolaretal thoracotomy for the remaining 11 patients. Recurrence was not detected in their average 30,13 months (1-73 months) follow up.Conclusion:Although pericardial cysts are benign lesions, complications due to growing and perforation are reported in the literature, and surgical treatment with low morbidity and mortality is recommended for definitive diagnosis and treatment. Even though we usually prefer exploration via thoracotomy minimally invasive methods should also be preferred in terms of both patient comfort and cost
References
- Ökten İ, Güngör A, editörler. Göğüs Cerrahisi, Cilt 2. Ankara: Sim Matbaacılık; 2003.
- Kutlay H, Yavuzer S, Han S, Cangir AK. Atypically located pericardial cysts. Ann Thorac Surg. 2001;72(6):2137-9.
- Potsis T, Nikas D, Patsouras D, Siogas K. Pericardial cyst in an unusual location. Hellenic J Cardiol. 2012;53(4):318-9.
- Mwita JC, Chipeta P, Mutagaywa R, Rugwizangoga B, Ussiri E. Pericardial cyst with right ventricular compression. Pan Afr Med J 2012;18(138);12:60.
- Raja A, Walker JR, Sud M, Du J, Zeglinski M, Czarnecki A. et al. Diagnosis of pericardial cysts using diffusion weighted magnetic resonance imaging: A case series. J Med Case Rep 2011;(5):479.
- Hamad HM, Galrinho A, Abreu J, Valente B, Bakero L, Ferreira RC. Giant pericardial cyst mimicking dextrocardia on chest X-ray. Rev Port Cardiol 2013;32(1):49-52.
- Siti Salwa MS, Anas R, Nor Hidayah AB. Pericardial cyst: a rare cause of pericardial effusion. Med J Malaysia 2013;68(1):79-80.
- Najib MQ, Chaliki HP, Raizada A, Ganji JL, Panse PM, Click RL. Symptomatic pericardial cyst: a case series. Eur J Echocardiogr 2011;12(11).
Abstract
Amaç: Bu çalışmada, cerrahi rezeksiyon ile kesin tanı ve tedavisi yapılmış olan 15 perikardial kist hastasının
demografik özellikleri ve radyolojik görüntüleriyle literatür eşliğinde sunulması amaçlanmıştır.
Çalışma Planı: Mart 2007- Mart 2013 yılları arasında perikardiyal kist nedeniyle opere edilen 15 hasta retrospektif
olarak değerlendirilmiştir.
Bulgular: Hastaların yaş ortalaması 50,26 (30-74) 9’u kadın, 6’sı erkekti. Erkeklerin %50’si, kadınların ise
%33,3’ü asemptomatikti. Toraks Beyin Tomografisi (BT)’de lezyon boyutları ortalama 9,13 cm (3-20) olup, yerleşimi
ağırlıklı olarak sağ hemitorakstaydı (%40). Dört hastada atipik yerleşim saptanırken, altı hastanın lezyon
boyutları 10 cm. den büyüktü. Olguların üçünde video yardımlı torakoskopik cerrahi (VATS), birinde videomediastinoskopi
kullanılırken kalan 11 olguda posterolateral torakotomi yapılmıştı. Ortalama 30,13 aylık (1-73 ay)
takiplerinde nüks izlenmedi.
Sonuç: Perikardiyal kistler her ne kadar benign lezyonlar olsalar da literatürde büyüme ve perforasyona bağlı
komplikasyonlar bildirilmiş olup, kesin tanı ve tedavi için düşük morbidite ve mortalite ile cerrahi önerilmektedir.
Tercihimiz genellikle torakotomi ile eksplorasyon olsa da minimal invaziv yöntemler de gerek hasta konforu
gerekse maliyet açısından tercih edilmelidir.
Keywords
References
- Ökten İ, Güngör A, editörler. Göğüs Cerrahisi, Cilt 2. Ankara: Sim Matbaacılık; 2003.
- Kutlay H, Yavuzer S, Han S, Cangir AK. Atypically located pericardial cysts. Ann Thorac Surg. 2001;72(6):2137-9.
- Potsis T, Nikas D, Patsouras D, Siogas K. Pericardial cyst in an unusual location. Hellenic J Cardiol. 2012;53(4):318-9.
- Mwita JC, Chipeta P, Mutagaywa R, Rugwizangoga B, Ussiri E. Pericardial cyst with right ventricular compression. Pan Afr Med J 2012;18(138);12:60.
- Raja A, Walker JR, Sud M, Du J, Zeglinski M, Czarnecki A. et al. Diagnosis of pericardial cysts using diffusion weighted magnetic resonance imaging: A case series. J Med Case Rep 2011;(5):479.
- Hamad HM, Galrinho A, Abreu J, Valente B, Bakero L, Ferreira RC. Giant pericardial cyst mimicking dextrocardia on chest X-ray. Rev Port Cardiol 2013;32(1):49-52.
- Siti Salwa MS, Anas R, Nor Hidayah AB. Pericardial cyst: a rare cause of pericardial effusion. Med J Malaysia 2013;68(1):79-80.
- Najib MQ, Chaliki HP, Raizada A, Ganji JL, Panse PM, Click RL. Symptomatic pericardial cyst: a case series. Eur J Echocardiogr 2011;12(11).
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Research |
| Authors | |
| Publication Date | October 14, 2015 |
| Published in Issue | Year 2015 Volume: 5 Issue: 3 |
