Off-pump resection of a giant inflamed epicardial cyst

Abstract Background Epicardial cysts are rarer benign tumors than pericardial cysts. There have been few reports on surgical management for epicardial cysts. Case presentation A 73-year-old woman with dyspnea on exertion had a giant cyst (12 × 10 cm in diameter) on preoperative computed tomography....

Full description

Saved in:
Bibliographic Details
Main Authors: Daisuke Kaneyuki, Tomoki Sakata, Anan Nomura, Manabu Sakurai, Kenji Mogi, Yoshiharu Takahara
Format: Article
Language:English
Published: Japan Surgical Society 2018-08-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-018-0495-3
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background Epicardial cysts are rarer benign tumors than pericardial cysts. There have been few reports on surgical management for epicardial cysts. Case presentation A 73-year-old woman with dyspnea on exertion had a giant cyst (12 × 10 cm in diameter) on preoperative computed tomography. Compression of the left atrium and ventricle by the cyst was considered to be the cause of her symptoms. The cyst was diagnosed with an epicardial cyst intraoperatively. Although the cyst adhered to surrounding tissues, it was successfully resected with off-pump surgery by using a heart positioner and an ultrasonic scalpel. Conclusions Surgeons should consider off-pump surgery as an alternative to video-assisted thoracoscopic surgery and on-pump surgery for complicated epicardial cysts.
ISSN:2198-7793