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[Pericardial cysts. Report on 9 treated cases]

P Volpino1, A De Cesare, M Bononi

  • 1I Istituto di Clinica Chirurgica, Università degli Studi La Sapienza, Roma.

Il Giornale Di Chirurgia
|April 16, 1998
PubMed
Summary

This study reviewed nine pericardial cyst cases, finding surgical thoracotomy effective for most. Percutaneous drainage offered a successful alternative for one patient, with no complications observed.

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Pericardial cysts are rare congenital anomalies, often asymptomatic and incidentally discovered.
  • Their location and clinical presentation can vary, impacting diagnostic approaches.
  • Management strategies range from observation to surgical intervention.

Purpose of the Study:

  • To review the clinical presentation, diagnostic methods, and treatment outcomes of pericardial cysts.
  • To evaluate the efficacy and safety of different management modalities.
  • To identify factors influencing diagnostic accuracy and treatment success.

Main Methods:

  • Retrospective analysis of nine patients treated for pericardial cysts between 1976 and 1993.
  • Review of diagnostic imaging (e.g., CT scans) and surgical records.

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  • Surgical interventions included posterolateral/axillary thoracotomy and CT-guided percutaneous drainage.

    • Main Results:

    • Six cysts were located in the right cardiophrenic angle, with preoperative diagnosis being most accurate for these typical locations.
    • Four patients were asymptomatic; eight underwent surgical treatment with no operative morbidity or mortality.
    • One patient with a large cyst successfully managed with CT-guided percutaneous drainage.

    Conclusions:

    • Pericardial cysts can be effectively managed with surgical resection or percutaneous drainage.
    • Accurate preoperative diagnosis is often dependent on cyst location.
    • Both surgical and minimally invasive approaches offer favorable outcomes with low complication rates.