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Large pericardial mesothelial cyst coexisting with hypertrophic obstructive cardiomyopathy

Anita Sadeghpour1, Alireza Alizadeh-Ghavidel2, Kambiz Mozaffari3

  • 1Professor, Department of Cardiology, Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

ARYA Atherosclerosis
|November 2, 2020
PubMed

Insights

A rare case report details a 33-year-old man with hypertrophic obstructive cardiomyopathy (HOCM) and a large pericardial mesothelial cyst. Surgical intervention was successful in managing both conditions.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Oncology

Background:

  • Pericardial mesothelial cysts are rare, often incidentally discovered.
  • The coexistence of large pericardial mesothelial cysts and hypertrophic obstructive cardiomyopathy (HOCM) presents unique clinical challenges.

Observation:

  • A 33-year-old male presented with syncope, dizziness, and pallor.
  • Echocardiography and CT revealed HOCM with a large pericardial cyst compressing the right heart chambers.

Findings:

  • The patient underwent successful surgical septal myectomy and pericardial cyst excision.
  • This combined surgical approach addressed both HOCM symptoms and cyst-related compression.

Implications:

  • This case highlights the importance of considering pericardial cysts in patients with HOCM.
  • Surgical management can be effective for coexisting large pericardial cysts and HOCM.
Abstract

Keywords:
Cardiomyopathy Hypertrophic ObstructiveMesotheliomaPericardial Cyst

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