Anesthetic and surgical considerations of giant pericardial cyst: Case report and literature review

Alqassieh, Rami; Al-Balas, Mahmoud; Al-Balas, Hamzeh

doi:10.1016/j.amsu.2020.05.038

Cited by 5 publications

(7 citation statements)

References 28 publications

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“… 3 , 5 , 14 Pericardial cyst is a rare cardiac lesion that should be in the differential diagnosis. 15 Experienced echocardiographers are often able to use all available echocardiographic imaging parameters to best differentiate SVG aneurysm from pericardial cyst, pericardial hematoma, or pseudoaneurysm of the aorta. However, when appropriate, additional tomographic imaging modalities such as cardiac magnetic resonance and CCT remain valuable for greater clarification and comprehensive evaluation (see Supplemental Figures 1–4 ).…”

Section: Discussionmentioning

confidence: 99%

Aortocoronary Saphenous Vein Graft Aneurysm: Diagnosis Using Color Doppler and Contrast Transesophageal Echocardiography

Bansal

Lafian

Kirk

2021

CASE

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Section: Discussionmentioning

confidence: 99%

Aortocoronary Saphenous Vein Graft Aneurysm: Diagnosis Using Color Doppler and Contrast Transesophageal Echocardiography

Bansal

Lafian

Kirk

2021

CASE

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“…[39][40][41][42] Thymic cysts account for 3% of all mediastinal masses and can be unilocular or multilocular. 43,44 While both types can cause compressive symptoms, unilocular cysts are more likely congenital while multilocular cysts are more frequently the result of inflammation from surgery or infection. Surgical resection is usually required because these lesions can continue to increase in size and cause compressive symptoms.…”

Section: Mediastinal Thymic Cystsmentioning

confidence: 99%

Some uncommon cystic lesions in the anterior head and neck region: Pitfalls to be avoided on cytology

et al. 2023

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Cystic lesions of the anterior head and neck region are a challenging and frequent finding on cytological smears. The scant amount of cellular material in cystic slides poses the greatest difficulty to interpretation, so that frequently they are diagnosed as inadequate or with minimal cellular component. Despite the majority of cystic lesions being benign, a minor portion consist of malignant cystic entities. In these latter cases, the evidence of very scant malignant cells can be misdiagnosed and/or underestimated, leading to a false negative diagnosis. Many papers have already described and detailed the range of possible benign and malignant cystic lesions in head and neck. In the current review we have focused on the less common entities that often lead to serious misinterpretation.

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“…The majority of these cysts are created during embryonic development and are identified incidentally or due to the presence of symptoms, such as cough, dyspnea, and chest pain. Although malignant transformations of foregut cysts are rare, surgical resection is recommended and is the standard treatment due to incidence of complications with observation, such as infection, development of clinical symptoms, and increase in cyst size ( 3 , 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

“…Anterior cysts can include thymic cysts and lymphangioma ( 1 ). Thymic cysts account for 3% of all mediastinal masses and can be unilocular or multilocular ( 6 , 7 ). Although both can cause compressive symptoms, unilocular cysts are more likely congenital whereas multilocular cysts are more frequently a result of inflammation from surgery or infection.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, if they are asymptomatic, watchful waiting with serial imaging can be performed ( 1 , 4 ). However, risks of observation include eventual infection, rupture, tamponade or compression of mediastinal structures ( 4 , 6 ). Bronchogenic cysts can be found in the middle and posterior mediastinum and are due to anomalous budding of the laryngotracheal groove.…”

Section: Introductionmentioning

confidence: 99%

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Surgical approaches to mediastinal cysts: clinical practice review

Hsu¹,

Banks²,

Velotta³

2022

Mediastinum

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The traditional approach to mediastinal cyst and mass resection has been open via median sternotomy or thoracotomy. With the advent of minimally invasive techniques, there have been successful cases completed via video-assisted thoracoscopic (VATS) and robot-assisted thoracoscopic surgery (RATS). Although mediastinal cysts are uncommon, they are a significant and relevant topic in the practice of thoracic surgery. Thus, this clinical practice review aims to summarize and highlight some of the key case series and retrospective studies in order to provide insight on each of the approaches. In addition, there is a brief review of other approaches, such as subxiphoid, and the utility of endobronchial ultrasound in the management of mediastinal cysts. In this review, the identified benefits of VATS and RATS lie largely in quality improvement of the patient experience—decreased length of stay (LOS) and pain—without compromising patient outcomes. However, the open approach remains a viable option, particularly for the management of large cysts or as a bail-out option. When surgeons approach with VATS or RATS and encounter bleeding or difficult dissection planes, it is consistent in the literature that conversion to thoracotomy is the safe next step. Our clinical practice is to attempt VATS or RATS approach for mediastinal cysts when possible. The data used for this review relies heavily on case reports and case series, and thus is the main limitation of this clinical practice review.

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Anesthetic and surgical considerations of giant pericardial cyst: Case report and literature review

Cited by 5 publications

References 28 publications

Aortocoronary Saphenous Vein Graft Aneurysm: Diagnosis Using Color Doppler and Contrast Transesophageal Echocardiography

Aortocoronary Saphenous Vein Graft Aneurysm: Diagnosis Using Color Doppler and Contrast Transesophageal Echocardiography

Some uncommon cystic lesions in the anterior head and neck region: Pitfalls to be avoided on cytology

Surgical approaches to mediastinal cysts: clinical practice review

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