Loureiro J, Burrow R, Dukes-McEwan J
Small Animal Teaching Hospital, University of Liverpool, Wirral.
J Small Anim Pract. 2009 Sep;50(9):492-7. doi: 10.1111/j.1748-5827.2009.00759.x.
Intrapericardial cysts are non-neoplastic structures that can become clinically significant by compressing cardiac chambers. Surgical excision is recommended to resolve clinical signs and this has been reported to be easily achieved by blunt manipulation. The present report describes a case of an intrapericardial cyst in a dog. The singularity of this case lays on the fact that the patient was presented unusually late, at the age of four years, and most importantly that its surgical correction was significantly complicated by the strong adherence of the cyst to both the pericardium and epicardium. This was possibly the result of chronic trauma and continued haemorrhage with subsequent healing and fibrosis. It is therefore important to consider intrapericardial cysts as a possible differential diagnosis in young to middle age patients presented with signs of right-sided heart failure. Surgical excision must be planned carefully as this may not be as straightforward as previously suggested.
心包内囊肿是非肿瘤性结构，可因压迫心腔而产生临床意义。建议手术切除以解决临床症状，据报道通过钝性操作可轻松实现。本报告描述了一例犬心包内囊肿病例。该病例的独特之处在于，患者就诊异常晚，为四岁，最重要的是，囊肿与心包和心外膜紧密粘连，使手术矫正显著复杂化。这可能是慢性创伤和持续出血，随后愈合和纤维化的结果。因此，对于出现右侧心力衰竭症状的中青年患者，应考虑心包内囊肿作为可能的鉴别诊断。手术切除必须仔细规划，因为这可能不像以前认为的那么简单。
