Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium
Pericardial cysts are rare mediastinal cysts composed of a single fluid-filled mesothelial layer and can be congenital in origin or develop secondary to pericarditis, trauma, or infection. Although most pericardial cysts are asymptomatic, life-threatening complications can occasionally occur. We rep...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2019/2320879 |
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| author | Mohammad Hadi Gharedaghi Saman Ahmadi Arjang Khorasani Farzad Ebrahimi |
| author_facet | Mohammad Hadi Gharedaghi Saman Ahmadi Arjang Khorasani Farzad Ebrahimi |
| author_sort | Mohammad Hadi Gharedaghi |
| collection | DOAJ |
| description | Pericardial cysts are rare mediastinal cysts composed of a single fluid-filled mesothelial layer and can be congenital in origin or develop secondary to pericarditis, trauma, or infection. Although most pericardial cysts are asymptomatic, life-threatening complications can occasionally occur. We report on a 57-year-old man with an asymptomatic 9 cm pericardial cyst that was incidentally found as an abnormal cardiac silhouette on routine chest radiography. Further imaging confirmed the presence of a pericardial cyst that was compressing the right atrium. The patient underwent successful video-assisted thoracoscopic removal of the pericardial cyst under general anesthesia. The patient’s postoperative course was uneventful and he was discharged on postoperative day 1 in a stable condition. To our knowledge, this is the first report regarding the anesthetic management of a patient with a giant pericardial cyst undergoing thoracic surgery. Knowledge regarding the perioperative challenges associated with the removal of pericardial cysts can prevent complications and improve patient outcomes. |
| format | Article |
| id | doaj-art-eab666eaff644342884082ea94732da0 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-eab666eaff644342884082ea94732da02025-02-03T01:21:52ZengWileyCase Reports in Anesthesiology2090-63822090-63902019-01-01201910.1155/2019/23208792320879Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right AtriumMohammad Hadi Gharedaghi0Saman Ahmadi1Arjang Khorasani2Farzad Ebrahimi3Department of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Suite 4815, Chicago, IL 60657, USADepartment of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Suite 4815, Chicago, IL 60657, USADepartment of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Suite 4815, Chicago, IL 60657, USADepartment of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W Wellington Ave, Suite 4815, Chicago, IL 60657, USAPericardial cysts are rare mediastinal cysts composed of a single fluid-filled mesothelial layer and can be congenital in origin or develop secondary to pericarditis, trauma, or infection. Although most pericardial cysts are asymptomatic, life-threatening complications can occasionally occur. We report on a 57-year-old man with an asymptomatic 9 cm pericardial cyst that was incidentally found as an abnormal cardiac silhouette on routine chest radiography. Further imaging confirmed the presence of a pericardial cyst that was compressing the right atrium. The patient underwent successful video-assisted thoracoscopic removal of the pericardial cyst under general anesthesia. The patient’s postoperative course was uneventful and he was discharged on postoperative day 1 in a stable condition. To our knowledge, this is the first report regarding the anesthetic management of a patient with a giant pericardial cyst undergoing thoracic surgery. Knowledge regarding the perioperative challenges associated with the removal of pericardial cysts can prevent complications and improve patient outcomes.http://dx.doi.org/10.1155/2019/2320879 |
| spellingShingle | Mohammad Hadi Gharedaghi Saman Ahmadi Arjang Khorasani Farzad Ebrahimi Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium Case Reports in Anesthesiology |
| title | Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium |
| title_full | Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium |
| title_fullStr | Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium |
| title_full_unstemmed | Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium |
| title_short | Anesthetic Management of a Patient with a Giant Pericardial Cyst Compressing the Right Atrium |
| title_sort | anesthetic management of a patient with a giant pericardial cyst compressing the right atrium |
| url | http://dx.doi.org/10.1155/2019/2320879 |
| work_keys_str_mv | AT mohammadhadigharedaghi anestheticmanagementofapatientwithagiantpericardialcystcompressingtherightatrium AT samanahmadi anestheticmanagementofapatientwithagiantpericardialcystcompressingtherightatrium AT arjangkhorasani anestheticmanagementofapatientwithagiantpericardialcystcompressingtherightatrium AT farzadebrahimi anestheticmanagementofapatientwithagiantpericardialcystcompressingtherightatrium |