Pericardial cyst: An unusual cause of chest pain

Varvarousis, Dimitrios; Tampakis, Konstantinos; Dremetsikas, Konstantinos; Konstantinedes, Pantelis; Mantas, Ioannis

doi:10.1016/j.jccase.2015.06.003

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…It provides anatomic details and characterizations to aid further decisions for surgical intervention if warranted. It also differentiates other etiologies of neoplasms and aneurysms [ 10 , 11 ]. Similarly, echocardiography is a non-invasive test that offers the cyst's exact location and assesses the heart's functionality.…”

Section: Discussionmentioning

confidence: 99%

“…Asymptomatic patients can be monitored periodically with a CT scan and conservative management. However, symptomatic patients can undergo minimally invasive percutaneous aspiration or surgical resection [ 8 ] depending on the location, risk factors of the patient, and characteristics of the cyst [ 11 ] to prevent life-threatening conditions as a result of compression of adjacent vital organs. Our patient was evaluated by the cardiothoracic surgery team for the possibility of surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

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A Recurrent Case of Mesothelial Pericardial Cyst

Hamdan,

Khan,

Mora

et al. 2024

Cureus

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This is a case of a 37-year-old female patient with past medical history of mitral valve prolapse and benign mesothelial pericardial cyst status post laparoscopic resection who presented to the emergency department with a chief complaint of right-sided sharp non-radiating chest pain due to recurrent case of benign mesothelial pericardial cyst. Though this is not a common pathology, it does overlap with common cardiovascular symptoms/conditions; not limited to but including chest pain, dyspnea, palpitations, pericardial effusions, infections and arrhythmias. It is crucial to have appropriate history and physical exam and appropriate evaluation to rule out pericardial cysts as well as their locations and their potential lethal mechanical implication on crucial nearby structures. This is significant in order to avoid uncommon but lethal cardiac complications in this condition such as cardiac arrhythmias, cardiac tamponade, right ventricular outflow tract and even sudden cardiac death.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Recurrent Case of Mesothelial Pericardial Cyst

Hamdan,

Khan,

Mora

et al. 2024

Cureus

View full text Add to dashboard Cite

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“…Several symptoms and clinical pictures have been reported to bibliography associated with either the cyst itself or the presence of a complication including: chronic cough [ 6 ], recurrent syncope [ 7 ], pneumonia [ 8 , 9 ], shortness of breath [ 10 , 11 ] or dyspnea [ 3 , 11 ], palpitations [ 3 , 9 , 11 ], right-sided heart failure [ 12 , 13 ], atrial fibrillation [ 14 ], sudden death [ 15 ], chest discomfort or fullness [ 11 ], and chest pain [ 3 , 10 , 11 , 16 - 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, the etiology of chest pain, its characteristics or whether it is acute or chronic are not mentioned [ 3 ]. In some previous published cases, pain was attributed to the size of the cyst itself and it had chronic character [ 11 , 16 ]. In other cases, with acute onset of chest pain or exacerbation of chronic chest pain, the cause was hemorrhage into the cyst [ 19 ], inflammation of a cyst [ 17 ], or the rupture of an inflamed cyst [ 18 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of an Inflamed Pericardial Cyst As the Cause of Acute Onset Chest Pain in a Young Patient and Review of the Literature

Kyvetos¹,

Panayiotou²,

Voukelatou³

et al. 2022

Cureus

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Among the extensive variety of disorders that can cause chest pain are the complicated pericardial cysts, pathological entities that otherwise are asymptomatic. Here, we describe a 34-year-old male patient with a symptomatic pericardial cyst presenting at the emergency department with acute chest pain that woke him up about six hours prior to presentation. The work up for his acute chest pain revealed a well-defined, fluid-filled, rounded mass next to the pericardium on the right cardiophrenic angle and increased acute phase reactants. The cyst was surgically removed and the biopsy showed signs of intense inflammatory infiltration with negative culture of the fluid. The patient received intravenous antibiotics for two weeks with complete resolution of the symptoms and remained asymptomatic for about two months after surgical excision. Among other symptoms that may be induced from the presence of a pericardial cyst, the acute onset of chest pain, in this otherwise benign condition, probably indicates the existence of a complication such as rupture, inflammation, or hemorrhage. Careful exclusion of other etiologies of chest pain is mandatory as the surgical excision of a complicated pericardial cyst remains the only therapeutic option.

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“…These are primarily congenital anomalies, with an estimated incidence of 1:100 000 persons, which occur because of the incomplete separation of the pericardial coelom after the third week of gestation [ 2 , 6 , 7 , 8 ]. However, inflammatory cysts may also occur in the context of tuberculosis, echinococcosis, rheumatic pericarditis, trauma, including cardiothoracic surgery, or in patients on chronic hemodialysis, in exceptional cases [ 5 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Symptomatic pericardial cysts and dilemmas in their diagnosis

Grigoraş,

Amălinei,

Căruntu

et al. 2024

Rom J Morphol Embryol

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Pericardial cysts (PCs) or pleuropericardial cysts are rare congenital mediastinal lesions with an approximate incidence of one in 100 000 persons. Usually, they are asymptomatic, being incidentally discovered during a routine chest imaging examination or an autopsy exam. The study involved a retrospective evaluation of clinicopathological findings in a 6-year series of PCs, treated in the Clinic of Pulmonary Diseases, Iaşi, Romania. A group of five cases of PCs, four females and one male, were evaluated. All patients displayed different symptoms, such as dyspnea, chest pain, chronic cough, fatigue, palpitation, and epigastric pain. The cystic lesions were located in the right and left cardiophrenic angle, in four cases, and in the central mediastinum in a single case. The lesions had a fluid content and a maximum diameter that ranged between 35 and 95 mm. The microscopic examination of the surgical resection tissues revealed a thin connective tissue wall without any associated smooth muscle cells. The loose connective tissue band was lined by a layer of mesothelial cells with no cellular atypia, which displayed discrete papillary projections, in one case. Although PCs are rare incidental findings, they should be considered in differential diagnoses of mediastinal cysts, especially as they are associated with non-specific symptoms. Furthermore, considering the possibility of development of severe complications, PCs should be thoroughly explored for suitable patients’ management.

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Pericardial cyst: An unusual cause of chest pain

Cited by 3 publications

References 5 publications

A Recurrent Case of Mesothelial Pericardial Cyst

A Recurrent Case of Mesothelial Pericardial Cyst

A Case of an Inflamed Pericardial Cyst As the Cause of Acute Onset Chest Pain in a Young Patient and Review of the Literature

Symptomatic pericardial cysts and dilemmas in their diagnosis

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