一名患有室间隔缺损和动脉导管未闭的一岁男童的心包囊肿。
Pericardial cyst in a one-year-old boy with ventricular septal defect and patent ductus arteriosus.
作者信息
Panthee Nirmal, Pradhan Sidhartha, Koirala Raamesh, Pant Anil Dev, Pokhrel Bishow, Shah Subhash Chandra, Timala Rabindra Bhakta
机构信息
Department of Cardiac Surgery, Shahid Gangalal National Heart Center, Bansbari, Kathmandu, Nepal.
Department of Pathology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.
出版信息
Egypt Heart J. 2022 May 16;74(1):39. doi: 10.1186/s43044-022-00278-6.
BACKGROUND
Pericardial cysts are rare, with the most common etiology being congenital. Ventricular septal defect is the most common congenital heart disease in children. However, the combination of pericardial cyst, ventricular septal defect, and patent ductus arteriosus is extremely rare.
CASE PRESENTATION
A one-year-old boy with ventricular septal defect and patent ductus arteriosus was planned for surgical correction. Intraoperatively, we made an additional diagnosis of a large pericardial cyst; and the cyst was excised along with ventricular septal defect closure and patent ductus arteriosus ligation.
CONCLUSIONS
Pericardial cysts can sometimes be missed with transthoracic echocardiography. Excision of the cyst can safely be done during concomitant cardiac surgery.
背景
心包囊肿罕见，最常见的病因是先天性的。室间隔缺损是儿童最常见的先天性心脏病。然而，心包囊肿、室间隔缺损和动脉导管未闭同时存在的情况极为罕见。
病例介绍
一名患有室间隔缺损和动脉导管未闭的一岁男孩计划接受手术矫正。术中，我们额外诊断出一个大的心包囊肿；该囊肿在关闭室间隔缺损和结扎动脉导管未闭的同时被切除。
结论
经胸超声心动图有时可能漏诊心包囊肿。囊肿切除可在同期心脏手术时安全进行。
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