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Symptomatic Huge Pericardial Cyst: A Case Report

Year 2013, Volume: 14 Issue: 2, 0 - 0, 01.08.2013

Abstract

Mediastinal cysts are uncommon and results from congenital, neoblastic or inflamatuar abnormalities. Pericardial cyst may occur in patients of all ages, but commonly present in adults. The overall incidence of pericardial cyst is 7% in mediastinal cysts. The clinical presentation is commonly asymtomatic. Pain, tachpnea, dsypne and cough is the most common symptoms. Tachycardie, hypotansion, arytmi and sudden death are usually because of cardiac compression by the cystic mass.They are commonly found incidentally upon chest radiography, computed tomography or echocardiograph. We present, herein, the case of a 35-year-old female with a symptoms of dsypne, hypotansion and atrial arrhythmia resistant to medical therapies with finding of a pericardial cyst compression to the lateral wall of the right atrium.

References

  • 1. Eto A, Arima T, Nagashima A. Pericardial cyst in a child treated with video-assisted thoracoscopic surgery. Eur J Pediatr 2000;159:889-91.
  • 2. Sugita T, Yasuda R, Mağara T, et al. Pericardial cyst in the midline position. J Cardiovasc Surg 1994;35,87-8
  • 3. Varghese TK, Lau CL. The mediastinum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston textbook of surgery: The biological basis of modern surgical practice, 18th ed. W.B. Saunders, Philadelphia, 2008:1695.
  • 4. Lambert AV. Etiology of thin walled thoracic cysts. J Thorac Surg 1940;10:1-7
  • 5. Borges AC, Gellert K, Dietel M, et al. Acute right-sided heart failure due to hemorrhage into a pericardial cyst. Ann Thorac Surg 1997;63:845-7.
  • 6. Yavuz Ş, Sezer H, Özdemir İA. Perikard hastalıklarında torakoskopik yaklaşım. Türk Kardiyol Dern Arş 1994;22:270-5.

SEMPTOMATİK DEV PERİKARDİYAL KİST: OLGU SUNUMU

Year 2013, Volume: 14 Issue: 2, 0 - 0, 01.08.2013

Abstract

Mediastinal kistler nadir gözlenen, konjenital, neoplastik ve inflamatuar kaynaklı patolojilerdir. Basit perikardiyal kistler tüm yaş gruplarında görülmekle beraber sıklıkla yetişkin yaş grubunda gözlenmektedir. Perikardiyal kistler tüm mediastinal kistler arasında %7 gibi bir oranda gözlenmektedir. Hastaların kliniği sıklıkla asemptomatik seyretmektedir. Semptomlar nadir gözlenmekle beraber %20-30 olguda semptomatik olup ağrı, nefes darlığı, taşipne ve öksürük en sık gözlenen semptomlardır. Kistin kardiyak basısına bağlı olarak hipotansiyon, aritmi, atrial fibrilasyon ya da ani kardiyak ölüm semptomlarda gözlenebilmektedir. X-ray, bilgisayarlı tomografi, ekokardiografi gibi tetkikler ile saptanmaktadır. Yazımızda 35 yaşında, medikal tedaviye dirençli hipotansiyon, aritmi ve nefes darlığı olan, sağ atriuma bası yapan perikardiyal kist olgusunu sunduk

References

  • 1. Eto A, Arima T, Nagashima A. Pericardial cyst in a child treated with video-assisted thoracoscopic surgery. Eur J Pediatr 2000;159:889-91.
  • 2. Sugita T, Yasuda R, Mağara T, et al. Pericardial cyst in the midline position. J Cardiovasc Surg 1994;35,87-8
  • 3. Varghese TK, Lau CL. The mediastinum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston textbook of surgery: The biological basis of modern surgical practice, 18th ed. W.B. Saunders, Philadelphia, 2008:1695.
  • 4. Lambert AV. Etiology of thin walled thoracic cysts. J Thorac Surg 1940;10:1-7
  • 5. Borges AC, Gellert K, Dietel M, et al. Acute right-sided heart failure due to hemorrhage into a pericardial cyst. Ann Thorac Surg 1997;63:845-7.
  • 6. Yavuz Ş, Sezer H, Özdemir İA. Perikard hastalıklarında torakoskopik yaklaşım. Türk Kardiyol Dern Arş 1994;22:270-5.
There are 6 citations in total.

Details

Other ID JA97CZ24GR
Journal Section Case Report
Authors

Özcan Gür This is me

Selami Gürkan This is me

Demet Ozkaramanlı Gür This is me

Turan Ege This is me

Publication Date August 1, 2013
Published in Issue Year 2013 Volume: 14 Issue: 2

Cite

EndNote Gür Ö, Gürkan S, Ozkaramanlı Gür D, Ege T (August 1, 2013) Symptomatic Huge Pericardial Cyst: A Case Report. Meandros Medical And Dental Journal 14 2