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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Main Authors: Mohammad Hadi Gharedaghi, Saman Ahmadi, Arjang Khorasani, Farzad Ebrahimi
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2019/2320879
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spelling doaj-eab666eaff644342884082ea94732da02020-11-25T01:09:25ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Mohammad Hadi Gharedaghi
Saman Ahmadi
Arjang Khorasani
Farzad Ebrahimi
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
author_facet Mohammad Hadi Gharedaghi
Saman Ahmadi
Arjang Khorasani
Farzad Ebrahimi
author_sort Mohammad Hadi Gharedaghi
title 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_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_sort anesthetic management of a patient with a giant pericardial cyst compressing the right atrium
publisher Hindawi Limited
series Case Reports in Anesthesiology
issn 2090-6382
2090-6390
publishDate 2019-01-01
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.
url http://dx.doi.org/10.1155/2019/2320879
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AT samanahmadi anestheticmanagementofapatientwithagiantpericardialcystcompressingtherightatrium
AT arjangkhorasani anestheticmanagementofapatientwithagiantpericardialcystcompressingtherightatrium
AT farzadebrahimi anestheticmanagementofapatientwithagiantpericardialcystcompressingtherightatrium
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