A Recurrent Case of Mesothelial Pericardial Cyst
Jaafar A Hamdan1, Akbar Khan1, Annalee Mora1
1Internal Medicine, HCA Healthcare/University of South Florida (USF) Morsani College of Medicine: HCA Florida Oak Hill Hospital, Brooksville, USA.
Cureus
|March 6, 2024
Summary
Recurrent benign mesothelial pericardial cysts can mimic common cardiovascular conditions, presenting a diagnostic challenge. Prompt evaluation is crucial to prevent potentially lethal cardiac complications.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pathology
Background:
- Benign mesothelial pericardial cysts are uncommon but can present with symptoms mimicking common cardiovascular diseases.
- A 37-year-old female with a history of mitral valve prolapse and prior cyst resection presented with recurrent chest pain.
Observation:
- The patient's chest pain was attributed to a recurrent benign mesothelial pericardial cyst.
- This condition can overlap with symptoms such as chest pain, dyspnea, and palpitations.
Findings:
- Pericardial cysts, though rare, require thorough evaluation due to potential mechanical implications.
- Diagnostic workup should include detailed history, physical examination, and imaging to identify cyst location and impact.
Implications:
- Misdiagnosis can delay treatment and lead to serious cardiac complications, including arrhythmias and cardiac tamponade.
- Early identification and management of pericardial cysts are vital to prevent sudden cardiac death.
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