scholarly journals Giant Pericardial Cyst - Eroding Left Ventricle

2017 ◽  
Vol 6 (1) ◽  
pp. 44-47
Author(s):  
Ram Kishor Shah ◽  
RK Jaiswal ◽  
DP Pokharel
Keyword(s):  
Transoesophageal Echocardiography ◽  
Cystic Mass ◽  
Pericardial Cyst ◽  
Parietal Pericardium ◽  
Life Threatening ◽  
Chest X Ray ◽  
Mediastinal Cysts ◽  
Pericardial Cysts ◽  
Contrast Ct ◽  
Typical Chest Pain

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 confirmed the presence of a large fluid filled cyst within the pericardial space. Contrast CT imaging revealed a giant pericardial cyst (10x10x12cm) in left cardiophrenic angle, later confirmed intraoperatively and by histopathology. Pericardial cysts occur at the rate of 1 person per 100,000. Seventy five 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.

scholarly journals Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Mohammad Hadi Gharedaghi ◽  
Saman Ahmadi ◽  
Arjang Khorasani ◽  
Farzad Ebrahimi
Keyword(s):  
Right Atrium ◽  
Anesthetic Management ◽  
Stable Condition ◽  
Pericardial Cyst ◽  
Life Threatening ◽  
Mediastinal Cysts ◽  
Cardiac Silhouette ◽  
Pericardial Cysts ◽  
The Right ◽  
Improve Patient

Pericardial cysts are rare mediastinal cysts composed of a single fluid-filled mesothelial layer and can be congenital in origin or develop secondary to pericarditis, trauma, or infection. Although most pericardial cysts are asymptomatic, life-threatening complications can occasionally occur. We report on a 57-year-old man with an asymptomatic 9 cm pericardial cyst that was incidentally found as an abnormal cardiac silhouette on routine chest radiography. Further imaging confirmed the presence of a pericardial cyst that was compressing the right atrium. The patient underwent successful video-assisted thoracoscopic removal of the pericardial cyst under general anesthesia. The patient’s postoperative course was uneventful and he was discharged on postoperative day 1 in a stable condition. To our knowledge, this is the first report regarding the anesthetic management of a patient with a giant pericardial cyst undergoing thoracic surgery. Knowledge regarding the perioperative challenges associated with the removal of pericardial cysts can prevent complications and improve patient outcomes.

Constrictive pericarditis with a life-threatening giant pericardial cyst and pectus excavatum as unusual cause for malign cardiac arrhythmias

Perfusion ◽  
2019 ◽  
Vol 34 (6) ◽  
pp. 516-518
Author(s):  
Stephen Gerfer ◽  
Georg Schlachtenberger ◽  
Kaveh Eghbalzadeh ◽  
Jens Wippermann ◽  
Thorsten Wahlers
Keyword(s):  
Chest Wall ◽  
Constrictive Pericarditis ◽  
Cardiac Arrhythmias ◽  
Congenital Anomalies ◽  
Pectus Excavatum ◽  
Rare Case ◽  
Pericardial Cyst ◽  
Life Threatening ◽  
Pericardial Cysts

Pericardial cysts are rare, abnormal, benign and usually congenital anomalies with an estimated incidence of 1:100.000 and are caused by an incomplete coalescence of foetal lacunae of pericardium development. The size of pericardial cysts varies from 1 to 5 cm and generally do not cause any symptoms. Pectus excavatum is one of the most frequent chest wall abnormalities with a caved-in appearance of the chest and mostly of unknown pathogenesis. We present a rare case of constrictive pericarditis with a huge pericardial cyst (11.6 × 8.7 × 7.1 cm) and pectus excavatum which led to compression of the heart and life-threatening cardiac arrhythmias.

Benzocaine-related methaemoglobinemia after transoesophageal echocardiography: a rare, life-threatening complication

2021 ◽  
Vol 14 (4) ◽  
pp. e241887
Author(s):  
John Wagner ◽  
Nicole Cornet ◽  
Alan Goldberg
Keyword(s):  
Transoesophageal Echocardiography ◽  
Supplemental Oxygen ◽  
Sudden Onset ◽  
Arterial Blood Gas ◽  
X Ray ◽  
Arterial Blood ◽  
Life Threatening ◽  
Chest X Ray ◽  
Life Threatening Complication ◽  
Methaemoglobin Level

Methaemoglobinemia is an uncommon but potentially life-threatening complication of topical benzocaine use that requires prompt identification in patients who undergo transoesophageal echocardiography (TEE). In this case, a 21-year-old patient who had sustained a stroke with residual right-sided weakness a few days prior to presentation underwent TEE to evaluate for intracardiac shunt. She required intubation as part of her poststroke care with some instrumentation to the posterior oropharynx. Shortly after TEE, the patient experienced sudden onset respiratory distress and hypoxia that did not improve with supplemental oxygen. Chest X-ray did not reveal any acute cardiopulmonary process. Arterial blood gas co-oximetry panel with methaemoglobin level confirmed the diagnosis of methaemoglobinemia. The patient promptly received methylene blue, recovered quickly and did not have any additional episodes of hypoxia.

scholarly journals Surgical resection of a giant pericardial cyst: a case report

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Eiji Taguchi ◽  
Takashi Oshitomi ◽  
Takihiro Kamio ◽  
Tomohiro Sakamoto
Keyword(s):  
Surgical Resection ◽  
Stable Condition ◽  
Multiple Modalities ◽  
Pericardial Cyst ◽  
Asymptomatic Patients ◽  
Mediastinal Cysts ◽  
Cardiac Silhouette ◽  
Pericardial Cysts

Abstract Background Pericardial cysts are rare congenital mediastinal cysts. They are typically asymptomatic and are often discovered incidentally, although some patients may present with chest pain and dyspnoea. Asymptomatic patients are managed conservatively with multiple modalities, with surgical resection often recommended for symptomatic patients only. The frequency of follow-up imaging has yet to be established. Case summary We report a case of a 59-year-old female with a gradually increasing pericardial cyst, first noted 10 years prior as an abnormal cardiac silhouette on routine chest radiography. Further evaluation confirmed the presence of a pericardial cyst compressing the left ventricle with new-onset atrial fibrillation. The patient underwent successful thoracoscopic excision of the pericardial cyst under general anaesthesia. The patient’s post-operative course was uneventful, and she was ultimately discharged in stable condition. Discussion Pericardial cysts are typically benign, but complications may arise in the case of compression of adjacent cardiac structures, inflammation, haemorrhage, or rupture of the cyst. Magnetic resonance imaging is considered the better modality for both diagnosis and follow-up of pericardial cysts. This case illustrates the need for long-term clinical follow-up in order to optimize the time for treatment.

scholarly journals Unexplained cough: pericardial cyst innocent bystander or culprit?

2011 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Sharon Elizabeth Orrange ◽  
Leslie A. Saxon ◽  
Ahmet Baydur ◽  
P. Michael McFadden
Keyword(s):  
Innocent Bystander ◽  
Resonance Imaging ◽  
Atypical Chest Pain ◽  
Computed Tomographic ◽  
Pericardial Cyst ◽  
History Of ◽  
Mediastinal Cysts ◽  
Magnetic Resonance Imaging Mri ◽  
Pericardial Cysts ◽  
Function Testing

Pericardial cysts are rare mediastinal cysts and an uncommon cause of cough. Patients are often asymptomatic but can present with cough, dyspnea and atypical chest pain. We describe the case of a 30 year old female with a 3 month history of unexplained cough. Extensive workup and empiric treatment for the standard causes of cough were unsuccessful. More detailed workup including bronchoscopy, endoscopy, pulmonary function testing and otolaryngology evaluation was normal. Computed tomographic (CT) scan and Magnetic resonance imaging (MRI) of the chest revealed a 5.8 cm pericardial cyst in the left cardiophrenic angle. Video assisted thorascopic surgery (VATS) was performed for removal of the cyst and the cough resolved completely postoperatively.

scholarly journals Symptomatic Pericardial Cyst: An Atypical Case of Pleuritic Chest Pain

2019 ◽  
Vol 3 (3) ◽  
pp. 199-201 ◽  
Author(s):  
T. Douglas Sallade ◽  
Chadd Kraus ◽  
Lisa Hoffman
Keyword(s):  
Chest Pain ◽  
Mediastinal Mass ◽  
Emergency Physicians ◽  
Pleuritic Chest Pain ◽  
Atypical Chest Pain ◽  
Coronary Syndrome ◽  
Pericardial Cyst ◽  
Common Causes ◽  
Life Threatening ◽  
Pericardial Cysts

Pericardial cysts were first described in 1837 as diverticula extending from the pericardium. They are rare and frequently asymptomatic. Symptomatic presentations may be similar to more common causes of chest pain or dyspnea such as acute coronary syndrome or pulmonary embolism. Emergency physicians should consider mediastinal mass, and in this case pericardial cyst, in the differential diagnosis of chest pain because of the risk for tamponade, sudden cardiac death, or other life-threatening complications. Here, we describe a novel presentation of a pericardial cyst presenting as atypical chest pain.

scholarly journals Large Congenital Pericardial Cyst Presented by Palpitation and Left Ventricle Posterior Wall Compression: A Rare Case Report

2021 ◽  
Vol 13 (1) ◽  
pp. 57-64
Author(s):  
Noor Mohamad Noori ◽  
Elham Shafighi Shahri ◽  
Seyed Hosein Soleimanzadeh Mousavi
Keyword(s):  
Left Ventricle ◽  
Sinus Tachycardia ◽  
Posterior Wall ◽  
Careful Examination ◽  
Radiographic Findings ◽  
X Ray ◽  
Pericardial Cyst ◽  
Rare Case Report ◽  
Chest X Ray ◽  
Pericardial Cysts

Congenital pericardial cysts are rare anomalies caused by the failure of fetal lacunae to coalesce into pericardial coelom. In this article a 9-year-old boy admitted with complain of palpitation in daily activities. The electrocardiography detected sinus tachycardia of 150 beats per minute with normal axis. Although chest X ray were normal, echocardiography showed an abnormal mass that compressed the posterior wall of left ventricle. The mass was extrinsic and confined to the pericardium. After midsternotomy, a huge cyst was found and totally excised. The complications of pericardial cyst can be significant, and the diagnosis relies on a careful examination and radiographic findings.

scholarly journals Diagnosing gastric volvulus in chest X-ray: report of three cases

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Narendra Pandit ◽  
Abhijeet Kumar ◽  
Tek Narayan Yadav ◽  
Qamar Alam Irfan ◽  
Sujan Gautam ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Abdomen ◽  
Gastric Volvulus ◽  
X Ray ◽  
Pain Abdomen ◽  
Life Threatening ◽  
Chest X Ray ◽  
High Index Of Suspicion ◽  
Specific Symptoms ◽  
Prompt Diagnosis

Abstract Gastric volvulus is a rare abnormal rotation of the stomach along its axis. It is a surgical emergency, hence requires prompt diagnosis and treatment to prevent life-threatening gangrenous changes. Hence, a high index of suspicion is required in any patients presenting with an acute abdomen in emergency. The entity can present acutely with pain abdomen and vomiting, or as chronic with non-specific symptoms. Chest X-ray findings to diagnose it may be overlooked in patients with acute abdomen. Here, we report three patients with gastric volvulus, where the diagnosis was based on the chest X-ray findings, confirmed with computed tomography, and managed successfully with surgery.

Life-threatening presentation of a parahiatal hernia after esophagectomy: a case report and review of the literature

2021 ◽  
Vol 14 (6) ◽  
pp. e242158
Author(s):  
Camille Plourde ◽  
Émilie Comeau
Keyword(s):  
Small Bowel ◽  
Transverse Colon ◽  
Acute Abdominal Pain ◽  
Haemodynamic Instability ◽  
Acute Setting ◽  
X Ray ◽  
Left Diaphragm ◽  
Life Threatening ◽  
Chest X Ray ◽  
Obstructive Shock

A woman presented to our hospital with acute abdominal pain 7 months following an oesophagectomy. A chest X-ray revealed a new elevation of the left diaphragm. CT demonstrated a large left diaphragmatic hernia incarcerated with non-enhancing transverse colon and loops of small bowel. She deteriorated rapidly into obstructive shock and was urgently brought to the operating room for a laparotomy. The diaphragmatic orifice was identified in a left parahiatal position, consistent with a parahiatal hernia. Incarcerated necrotic transverse colon and ischaemic loops of small bowel were resected, and the diaphragmatic defect was closed primarily. Because of haemodynamic instability, the abdomen was temporarily closed, and a second look was performed 24 hours later, allowing anastomosis and definitive closure. Parahiatal hernias are rare complications following surgical procedures and can lead to devastating life-threatening complications, such as an obstructive shock. Expeditious diagnosis and management are required in the acute setting.

scholarly journals A dangerous pleural effusion

2010 ◽  
Vol 92 (5) ◽  
pp. e53-e54 ◽  
Author(s):  
Somprakas Basu ◽  
Shilpi Bhadani ◽  
Vijay K Shukla
Keyword(s):  
Rare Complication ◽  
Sudden Onset ◽  
Biliary Surgery ◽  
Biliary Leak ◽  
X Ray ◽  
Delay In Diagnosis ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Life Threatening ◽  
Chest X Ray

Bilothorax is a rare complication of biliary peritonitis and, if not treated promptly, can be life-threatening. We report a case of a middle-aged woman who had undergone a bilio-enteric bypass and subsequently a biliary leak developed, which finally led to intra-abdominal biliary collection and spontaneous bilothorax. The clinical course was rapid and mimicked venous thromboembolism, myocardial infarction and pulmonary oedema, which led to a delay in diagnosis and management and finally death. We high-light the fact that bilothorax, although a rare complication of biliary surgery, should always be considered as a probable cause of massive effusion and sudden-onset respiratory and cardiovascular collapse in the postoperative period. A chest X-ray and a diagnostic pleural tap can confirm the diagnosis. Once detected, an aggressive management should be instituted to prevent organ failure and death.

Sign in / Sign up

Export Citation Format

Share Document