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Hemorrhage into a pericardial cyst and associated right ventricular compression after blunt chest trauma

Veysel Temizkan1, Burak Onan, Kaan Inan

  • 1Department of Cardiovascular Surgery, GATA Haydarpasa Education Hospital, Istanbul, Turkey.

The Annals of Thoracic Surgery
|March 27, 2010
PubMed

Insights

Hemorrhage into a pericardial cyst after chest trauma is rare and can compress heart chambers. Surgical removal is recommended for these cysts due to potential intervention failure.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Imaging

Background:

  • Pericardial cysts are rare, typically located at the cardiophrenic angles.
  • Blunt chest trauma can precipitate rare complications like hemorrhage into these cysts.
  • Hemorrhagic pericardial cysts pose a risk of cardiac chamber compression.

Observation:

  • A 20-year-old male presented with a giant hemorrhagic pericardial cyst following blunt chest injury.
  • The cyst caused isolated compression of the right ventricle.
  • Clinical presentation highlighted the features of this uncommon pathology.

Findings:

  • Diagnosis of a giant hemorrhagic pericardial cyst was confirmed post-trauma.
  • Right ventricular compression was the primary hemodynamic consequence.
  • The case illustrates the clinical manifestations of this rare entity.

Implications:

  • Surgical resection is a viable treatment option for hemorrhagic pericardial cysts.
  • Percutaneous interventions may fail due to the cyst's hemorrhagic content.
  • Understanding this rare condition is crucial for effective patient management and treatment planning.

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