Komeda M, Miki S, Kusuhara K, Ueda Y, Ohkita Y, Tahata T, Matsumoto M, Tsukamoto Y
Jpn Circ J. 1985 Nov;49(11):1201-5. doi: 10.1253/jcj.49.1201.
As a result of mass-screening, a 7-year-old girl was noted to have an abnormal shadow and was subsequently diagnosed as having a pericardial cyst. During surgery, we discovered that the cyst originated from the epicardium, and only its free wall was resected with the cyst left open to the pericardial cavity. The postoperative course was uneventful. This is presumed to be the first case of epicardial cyst ever reported in Japan. In diagnosing the epicardial cyst, the use of chest films, echocardiography and computed tomography assist angiography in making a differential diagnosis from intracardiac lesion. In treatment, surgical resection is advised. Even though the cyst may be asymptomatic, the possible compression on the surrounding organs and possible rupture into the pericardial cavity must be avoided.
通过大规模筛查，一名7岁女孩被发现有异常阴影，随后被诊断为心包囊肿。手术中，我们发现囊肿起源于心外膜，仅切除其游离壁，囊肿向心包腔开放。术后过程顺利。这被认为是日本有史以来报道的首例心外膜囊肿病例。在诊断心外膜囊肿时，使用胸部X光片、超声心动图和计算机断层扫描辅助血管造影有助于与心脏内病变进行鉴别诊断。在治疗方面，建议进行手术切除。即使囊肿可能无症状，也必须避免其对周围器官可能的压迫以及可能破裂进入心包腔。
