Aertker Robert A, Cheong Benjamin Y C, Lufschanowski Roberto
Departments of Cardiology, (Drs. Aertker, Cheong, and Lufschanowski) and Radiology (Dr. Cheong), Texas Heart Institute, Houston, Texas 77030.
Tex Heart Inst J. 2016 Dec 1;43(6):537-540. doi: 10.14503/THIJ-15-5623. eCollection 2016 Dec.
We present the case of a 63-year-old woman with a remote history of supraventricular tachycardia and hyperlipidemia, who presented with recurrent episodes of acute-onset chest pain. An electrocardiogram showed no evidence of acute coronary syndrome. A chest radiograph revealed a prominent right-sided heart border. A suspected congenital pericardial cyst was identified on a computed tomographic chest scan, and stranding was noted around the cyst. The patient was treated with nonsteroidal anti-inflammatory drugs, and the pain initially abated. Another flare-up was treated similarly. Cardiac magnetic resonance imaging was then performed after symptoms had resolved, and no evidence of the cyst was seen. The suspected cause of the patient's chest pain was acute inflammation of a congenital pericardial cyst with subsequent rupture and resolution of symptoms.
我们报告一例63岁女性病例，该患者有室上性心动过速和高脂血症病史，现出现反复发作的急性胸痛。心电图显示无急性冠状动脉综合征证据。胸部X线片显示右侧心缘突出。胸部计算机断层扫描发现一个疑似先天性心包囊肿，囊肿周围可见条索状影。患者接受了非甾体类抗炎药治疗，疼痛最初有所缓解。另一次发作时也进行了类似治疗。症状缓解后进行了心脏磁共振成像检查，未发现囊肿迹象。患者胸痛的疑似病因是先天性心包囊肿急性炎症，随后囊肿破裂，症状缓解。
