A rare giant pericardial cyst mimicking a paracardiac mass

Pericardial cysts are rare benign lesions of the thoracic cavity and are mostly congenital anomalies. They are induced by an incomplete coalescence of foetal lacunae during the development of the pericardium. Pericardial cysts are usually unilocular, well marginated spherical or teardrop shaped and...

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Bibliographic Details
Published inCardiovascular Journal of Africa Vol. 27; no. 4; pp. e7 - e9
Main Authors Akbayrak, Hakan, Yildirim, Serkan, Simsek, Murat, Oc, Mehmet
Format Journal Article
LanguageEnglish
Published South Africa Clinics Cardive Publishing 01.07.2016
Subjects
Case Report
Diagnosis, Differential
Heart Atria - diagnostic imaging
Heart Atria - surgery
Humans
Incidental Findings
Magnetic Resonance Imaging
Male
Mediastinal Cyst - diagnostic imaging
Mediastinal Cyst - pathology
Mediastinal Cyst - surgery
Middle Aged
Predictive Value of Tests
Sternotomy
Thoracic Neoplasms - diagnostic imaging
Treatment Outcome
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Summary:Pericardial cysts are rare benign lesions of the thoracic cavity and are mostly congenital anomalies. They are induced by an incomplete coalescence of foetal lacunae during the development of the pericardium. Pericardial cysts are usually unilocular, well marginated spherical or teardrop shaped and may be attached to the pericardium directly or by a pedicle. Of all pericardial cysts, 70 to 75% are located at the right cardiophrenic angle. We report a case that was incidentally diagnosed with only chest magnetic resonance imaging because of a paracardiac mass. In order to prevent complications, the giant pericardial cyst was excised outside of the pericardium with median sternotomy.
ISSN:1995-1892
1680-0745
DOI:10.5830/CVJA-2016-016