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Pericardial synovial sarcomas are very rare and usually associated with poor prognosis if not diagnosed and treated early. It usually presents with symptoms of a massive pericardial effusion and signs of cardiac tamponade and failure. Here, we report the case of a 27-year-old patient with exertional dyspnea and massive pericardial effusion. Echocardiography and magnetic resonance imaging revealed a pericardial mass. The patient was treated by surgical excision and a subsequent histological analysis confirmed the diagnosis of pericardial synovial sarcoma.

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Suitable time for coronary artery bypass grafting (CABG) after acute myocardial infarction (AMI) remains controversial. Many randomized studies have shown that primary angioplasty in AMI may result in better results compared with fibrinolytic therapy and CABG. We herewith report a case of a 72-yearold patient with fracture of femur who sustained massive myocardial infarction (MI). Hybrid cardiac surgery which combines percutaneous coronary intervention and CABG was performed on him.