Infected pericardial cyst: a rare cause of neonatal cardiac tamponade, successfully treated by percutaneous aspiration

• Published in: Archives of disease in childhood. Fetal and neonatal edition Vol. 109; no. 1; p. 112
• Main Authors: Karmegaraj, Balaganesh, Sasikumar, Navaneetha, Kappanayil, Mahesh, Manikavasagam, Madhavan, Kumar, Raman Krishna
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01.01.2024; BMJ Publishing Group LTD
• Subjects: Biopsy; Cardiac Tamponade - etiology; Cardiac Tamponade - therapy; Cardiology; Communicable Diseases; Communication; Cysts; Edema; Emergency Care; Heart; Humans; Images in neonatal medicine; Infant, Newborn; Intensive Care Units, Neonatal; Mediastinal Cyst - complications; Mediastinal Cyst - diagnostic imaging; Mediastinal Cyst - surgery; Neonatology; Neoplasms; Newborn babies; Pulmonary arteries; Respiratory Medicine; Staphylococcus infections; Suction - adverse effects; Neonatology; Emergency Care; Intensive Care Units, Neonatal; Cardiology; Respiratory Medicine
• ISSN: 1359-2998; 1468-2052; 1468-2052
• DOI: 10.1136/archdischild-2023-325690

Echocardiography showed suprasystemic pulmonary artery pressures and a large (2.7×3 cm) mass compressing the right heart, producing cardiac tamponade (figure 1B; online supplemental video 1). Saline contrast echocardiography (figure 1C; online supplemental video 2) does not show any communication with the circulation. (B) Grey scale subcostal long axis view showing a large mass compressing the right heart producing cardiac tamponade; however, the contrast echocardiography (C) showed absent filling of the structure suggestive of an extracardiac origin.