Pericardial Cyst in the Rt. Subpulmonary Region - A case report -

우폐하에 위치한 심막낭종 - 1예 보고 -

  • Jeon, Hyun-Woo (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Sa, Young-Jo (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Park, Jae-Kil (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Sun-Hee (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Sim, Sung-Bo (Department of Thoracic and Cardiovascular Surgery, St. Mary's Hospital, The Catholic University of Korea)
  • 전현우 (가톨릭대학교 성모병원 흉부외과학교실) ;
  • 사영조 (가톨릭대학교 성모병원 흉부외과학교실) ;
  • 박재길 (가톨릭대학교 성모병원 흉부외과학교실) ;
  • 이선희 (가톨릭대학교 성모병원 흉부외과학교실) ;
  • 심성보 (가톨릭대학교 성모병원 흉부외과학교실)
  • Published : 2007.06.05

Abstract

Pericardial cysts are uncommon benign congenital mediastinal lesions and they are most often found in either cardiophrenic angle. We present here one case of atypically located pericardial cyst that was located in the sub-pulmonary region. The clinicians should take into consideration this entity in the differential diagnosis of cystic lesion of the mediastinum. The diagnostic difficulties that are encountered and the utility of video-assisted thoracoscopy are described.

심막낭종은 매우 드문 종격동 양성종양으로 대부분 우측 심장횡경막각에서 발생한다. 그러나 흉곽내의 다른 부위에서도 드물게 발생할 수 있으며, 이런 경우 종격동에서 기원하는 다른 낭종 질환과의 감별진단에 주의를 기울여야 한다. 본 증례는 비전형적인 병소인 폐하부에 위치한 심막낭종을 비데오 흉강경을 이용하여 낭종제거술을 시행하고 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Yuncu G, Cakan A, Ors Kaya S, Sevinc A, Ucvet A, Ermers S. Atypically located pericardial cysts. J Cardiovasc Surg 2001;42:275-8
  2. Stoller JK, Shaw C, Matthay RA. Enlarging, atypically located pericardial cys: recent experience and literature review. Chest 1986;89:402-6 https://doi.org/10.1378/chest.89.3.402
  3. Kutlay H, Yavuzer S, Han S, Cangir AK. Atypically located pericardial cysts. Ann Thorac Surg 2001;72:2137-9 https://doi.org/10.1016/S0003-4975(01)02725-4
  4. Satur CMR, Hsin MKY, Dussek JE. Giant pericardial cysts. Ann Thorac Surg 1996;61:208-10 https://doi.org/10.1016/0003-4975(95)00720-2
  5. Horita K, Sakao Y, Itoh T. Excision of recurrent pericardial cystusing video-assisted thoracic surgery. Chest 1998;114: 1203-4 https://doi.org/10.1378/chest.114.4.1203
  6. Borges AC, Gellert K, Dietel M, Bauman G, Witt C. Acute right sided heart failure due to hemorrhage into pericardial cyst. Ann Thorac Surg 1997;63:845-7 https://doi.org/10.1016/S0003-4975(96)01373-2
  7. Hazelrigg SR, Landreneau RJ, Mack MJ, Acuff TE. Thoracoscopic resection of mediastinal cysts. Ann Thorac Surg 1993;56:659-60 https://doi.org/10.1016/0003-4975(93)90944-D