Minutiello L
Divisione di Cardiologia, Regione Marche, USL n. 20, Presidio Ospedaliero, Camerino, Macerata.
Minerva Cardioangiol. 1994 Jun;42(6):313-9.
Pericardial cysts are benign intrathoracic lesions typically located at the right costophrenic angle (70%) or the left cardiophrenic angle (10 to 40%) and occasionally along the upper mediastinum, hilus, or left cardiac border. Usually pericardial cysts do not cause symptoms and constitute an occasional finding. However, occasional episodes of dyspnea, tachycardia or arrhythmias, sometimes cause intermittent retrosternal discomfort extending to the left arm. Two dimensional echocardiography may be used for accurate diagnosis of pericardial cysts and may obviate the need for more extensive investigation. For its high sensitivity and ability to differentiate solid from cystic masses and to define their relationship with cardiac chambers, this technique remains a reliable method for assessing pericardial cysts, giving to the clinician useful information for surgical decisions, or for other clinical investigations. We report the two dimensional echocardiographic findings in a 77-year-old man with voluminous pericardial cyst. We believe that this technique may be a simple, non invasive means of diagnosing these pericardial lesions.
心包囊肿是一种良性的胸腔内病变，通常位于右肋膈角（70%）或左心膈角（10%至40%），偶尔也会出现在上纵隔、肺门或左心缘。心包囊肿通常不会引起症状，多为偶然发现。然而，偶尔会出现呼吸困难、心动过速或心律失常，有时会导致间歇性胸骨后不适并放射至左臂。二维超声心动图可用于准确诊断心包囊肿，从而无需进行更广泛的检查。由于其具有高敏感性，能够区分实性肿块与囊性肿块，并确定它们与心腔的关系，该技术仍然是评估心包囊肿的可靠方法，可为临床医生提供有用信息以用于手术决策或其他临床研究。我们报告了一名77岁大量心包囊肿男性患者的二维超声心动图检查结果。我们认为，这项技术可能是诊断这些心包病变的一种简单、无创的方法。
