Vol 16, No 2 (2020): Incomplete Issue

Large pericardial mesothelial cyst coexisting with hypertrophic obstructive cardiomyopathy

Anita Sadeghpour, Alireza Alizadeh-Ghavidel, Kambiz Mozaffari, Hamidreza Pouraliakbar, Behshid Ghadrdoost, Mohaddeseh Behjati



DOI: http://dx.doi.org/10.22122/arya.v16i2.2014

Abstract


BACKGROUND: Pericardial mesothelioma cyst occurs rarely, and is often found incidentally. The coexistence between large pericardial mesothelial cyst and hypertrophic obstructive cardiomyopathy (HOCM) can make difficulties in medical management.

CASE REPORT: Our case was a 33-year-old man presented with dizziness and pallor while standing since four years before, and recent syncope. On admission, transthoracic echocardiography reveled presence of hypertrophic cardiomyopathy in association with relatively small right ventricular and atrium due to compression effect by a large echo-free space at the right side of heart suggestive of pericardial cyst. Cardiac computed tomography confirmed presence of HOCM and large pericardial cyst. Patient underwent surgical septal myectomy and large mesothelial pericardial cyst excision because of persistent symptoms and compression effect of cyst on the right chambers despite beta-blocker therapy.

CONCLUSION: To best of our knowledge, the coexistence of the large pericardial mesothelial cyst and HOCM has not been reported before.

 


Keywords


Mesothelioma; Pericardial Cyst; Cardiomyopathy Hypertrophic Obstructive

Full Text:

PDF

References


Sharma R, Harden S, Peebles C, Dawkins KD. Percutaneous aspiration of a pericardial cyst: An acceptable treatment for a rare disorder. Heart 2007; 93(1): 22.

Elamin WF, Hannan K. Pericardial cyst: An unusual cause of pneumonia. Cases J 2008; 1(1): 26.

van der Wall EE. New ESC guidelines on hypertrophic cardiomyopathy: New insights in invasive treatment? Neth Heart J 2015; 23(1): 1-3.

Comoglio C, Sansone F, Delsedime L, Campanella A, Ceresa F, Rinaldi M. Mesothelial cyst of the pericardium, absent on earlier computed tomography. Tex Heart Inst J 2010; 37(3): 354-7.

Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: Endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr 2013; 26(9): 965-1012.

Michelotto E, Tarantino N, Ostuni V, Pedote P, Colonna P, Guglielmi R. An Uncommon Pericardial Cyst in the Central Mediastinum: Incremental Diagnosis with Contrast-Enhanced Three-Dimensional Transesophageal Echocardiography. J Cardiovasc Echogr 2013; 23(4): 106-10.

Patel S, Hajmedi P, Fischbein J. Common symptoms with rare entity: A giant pericardial cyst. Am J Med 2015; 128(10): e27-e28.


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.