Giant Pericardial Cyst - Eroding Left Ventricle
Journal Title: Nepalese Heart Journal - Year 2009, Vol 6, Issue 1
Abstract
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 confrmed the presence of a large fluid flled cyst within the pericardial space. Contrast CT imaging revealed a giant pericardial cyst (10x10x12cm) in left cardiophrenic angle, later confrmed intraoperatively and by histopathology. Pericardial cysts occur at the rate of 1 person per 100,000. Seventy fve 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.
Authors and Affiliations
Shah RK| Department of cardiology, NAMS, Bir Hospital, Department of radiology, NAMS, Bir Hospital, Department of cardiothoracic Surgery, NAMS, Jaiswal RK| Department of cardiology, NAMS, Bir Hospital, Department of radiology, NAMS, Bir Hospital, Department of cardiothoracic Surgery, NAMS, Pokharel DP| Department of cardiology, NAMS, Bir Hospital, Department of radiology, NAMS, Bir Hospital, Department of cardiothoracic Surgery, NAMS
Keywords
Related Articles
- EP ID EP15668
- DOI http://dx.doi.org/10.3126/njh.v6i1.18594
- Views 485
- Downloads 23
Congenital Absence of pericardium
A 30- year-old physically active male presented to us for evaluation of left sided chest pain which was non-exertional in nature. He described it as being of pricking type and non-radiating .His past history was not sign...
Angiographic Studies of Coronary Artery Disease in Dhulikhel Hospital
Background Coronary Artery Diseases (CAD), one of the the leading causes of death, is increasing globally. The number of CAD is also increasing in Nepal. Dhulikhel Hospital is also providing cardiovascular services to...
Hypertension among Young Adults in the Shopping Malls of Kathmandu
Background Hypertension is a major public health challenge in the world. Developing countries share the major burden of it. Unlike thought before, hypertension is increasing among poor, young and women. Methods It wa...
Complete heart block in Acute Rheumatic fever
Rheumatc fever can cause a variety of cardiac conducton disturbances. First-degree heart block is a common electrocardiographic manifestaton of acute rheumatc fever and is included in Jones’ diagnostc criteria. Other...
Effect of Oral Clonidine on Hemodynamic Response During Surgery
Clonidine is an alpha 2-adrenoceptor agonist. It has recently, however, found a new and possibly signifcant role in anaesthesia and the treatment of pain. Diazepam has been used as a drug for premedication for years bu...