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Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
602
Cystic mediastinal mass
Jayaprasad Narayanapillai1, Suresh Madhavan1, B Hosgoudru Shankaragouda1
1Department of Cardiology, Government Medical College, Kottayam, Kerala, India.
Heart Asia
|August 18, 2018
Summary
A pericardial hydatid cyst was diagnosed in a woman presenting with fever and dyspnea. Surgical excision and albendazole treatment were effective management strategies for this rare condition.
Area of Science:
- Cardiology
- Radiology
- Parasitology
Background:
- A 32-year-old woman presented with constitutional symptoms and dyspnea.
- Imaging revealed a cystic mass compressing the right atrium with thickened pericardium.
- Elevated inflammatory markers (ESR, CRP) were noted.
Purpose of the Study:
- To determine the diagnosis and optimal management for a patient with a symptomatic pericardial cyst.
Main Methods:
- Diagnostic imaging included chest X-ray, echocardiography, and CT scan.
- Laboratory tests assessed inflammatory markers.
- Surgical excision of the mass with partial pericardiectomy was performed.
- Histopathological examination of the cyst and pericardial tissue.
Main Results:
- Imaging confirmed a cystic lesion compressing the right atrium.
- Histopathology was suggestive of a hydatid cyst.
- The patient underwent successful surgical excision and was treated with albendazole.
Conclusions:
- Pericardial hydatid cysts are rare but should be considered in the differential diagnosis of cystic mediastinal masses.
- Multimodality imaging is crucial for diagnosis.
- Surgical management combined with antiparasitic therapy is the recommended treatment strategy.
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