一例压迫心脏右侧的出血性心包囊肿：病例报告
A haemorrhagic pericardial cyst compressing the right side of the heart: a case report.
作者信息
Elhakim Abdelrahman, Boguschewski Andrea, Zamzow Piet, Saad Mohammed
机构信息
Cardiology Department, Schoen Hospital Neustadt, Am Kiebitzberg 10, 23730 Neustadt in Holstein, Germany.
Cardiology Department, Schleswig-Holstein University Hospital-Kiel, Arnold-Heller-Street 3, 24105 Kiel, Germany.
出版信息
Eur Heart J Case Rep. 2023 Oct 10;7(10):ytad497. doi: 10.1093/ehjcr/ytad497. eCollection 2023 Oct.
BACKGROUND
Pericardial cysts are rare and represent the third most common cystic mass of the mediastinum. The majority are asymptomatic and detected as incidental findings; however, they can be symptomatic and associated with life-threatening complications such as bronchial compression, congestive heart failure, cardiac tamponade, or even sudden death.
CASE SUMMARY
We present a rare case of a haemorrhagic pericardial cyst with subtotal compression of the right side of the heart. A symptomatic male patient was referred due to progressive dyspnoea, signs of congestive heart failure for four months, and a transthoracic echocardiogram showing subtotal compression of the right heart side; the diagnosis was confirmed with thoracic computer tomography imaging and was removed surgically.
DISCUSSION
Pericardial cysts are asymptomatic and benign in the majority of cases; however, they can be associated with life-threatening complications. Thus, regular follow-up is recommended, and in a minority of cases, minimal invasive intervention or surgery could be imperative.
背景
心包囊肿较为罕见，是纵隔第三常见的囊性肿物。大多数心包囊肿无症状，多为偶然发现；然而，它们也可能出现症状，并伴有危及生命的并发症，如支气管受压、充血性心力衰竭、心脏压塞，甚至猝死。
病例摘要
我们报告一例罕见的出血性心包囊肿，伴有心脏右侧部分受压。一名有症状的男性患者因进行性呼吸困难、充血性心力衰竭体征达四个月，经胸超声心动图显示心脏右侧部分受压而前来就诊；经胸部计算机断层扫描成像确诊后进行了手术切除。
讨论
大多数情况下，心包囊肿无症状且为良性；然而，它们可能伴有危及生命的并发症。因此，建议定期随访，在少数情况下，可能需要进行微创干预或手术。
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