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Ethanol sclerosis can be a safe and useful treatment for pericardial cyst
Y Kinoshita1, T Shimada, Y Murakami
14th Department of Internal Medicine, Shimane Medical University, Izumo, Japan.
Insights
Percutaneous ethanol sclerosis effectively treated a large pericardial cyst in a 41-year-old man. This minimally invasive procedure prevented recurrence, suggesting it as a primary treatment option for pericardial cysts.
Area of Science:
- Cardiology
- Interventional Radiology
- Medical Imaging
Background:
- Pericardial cysts are rare, often asymptomatic, but can cause symptoms or complications.
- Large pericardial cysts may require intervention if they increase in size or cause discomfort.
Abstract:
We report the case of a 41-year-old man with a pericardial cyst treated by percutaneous aspiration and ethanol injection. He was referred to our hospital because of electrocardiographic abnormality. On admission, chest x-ray revealed a large pericardial cyst in the right cardiophrenic angle. The cyst was examined by echocardiography, computed tomography, and cytological analysis of aspiration fluid from the cyst. Ethanol sclerosis was applied for treatment of the cyst, which had continued to increase in size. There was no recurrence of the cyst 6 months after the treatment. Percutaneous ethanol sclerosis can be the first choice of treatment for pericardial cyst.