Issue
Date Log
This work is licensed under a Creative Commons Attribution 4.0 International License.
A Rare Case of Congenital Pericardial Cyst Detected Postmortem
The Bulletin of Legal Medicine,
Vol. 25 No. 3 (2020)
Abstract
Congenital pericardial cysts are very rare and often found incidentally in many cases, however they can rarely cause life-threatening symptoms. We aimed to discuss on death the effect of the pericardial cyst and fatty changes in the atrioventricular (AV) node that were detected in the autopsy of a 23-year-old postpartum female.
In documents; it was written that the woman who was breastfeeding had been suffering from chest pain for some time. In autopsy; an oval, unilocular, cystic structure with a size of 7.5x7.5x4 cm adjacent to the upper lobe of the left lung, hanging on the outer surface of the pericardium was found. In the histopathological examination; fatty changes were observed in the AV node.
In our case, complications that occured after the space-occupying effect of the cyst in the mediastinum, such as arrhythmia, right ventricular outflow tract obstruction, cardiac compression, and changes due to fatty AV node were evaluated.
Keywords
Download Citation
Endnote/Zotero/Mendeley (RIS)BibTeX
- Parmar, Y. J., Shah, A. B., Poon, M., & Kronzon, I. Congenital abnormalities of the pericardium, Cardiology Clinics, Volume 35, Issue 4, November 2017, Pages 601-614, https://doi.org/10.1016/j.ccl.2017.07.012
- Kar SK, Ganguly T. Current concepts of diagnosis and management of pericardial cysts. IndianHeart J, 2017 May - Jun;69(3):364-370. https://doi.org/10.1016/j.ihj.2017.02.021
- Ley, Marie Brix; Larsen, Maiken Kudahl. Pericardial Cyst: Cause of Sudden Cardiac Death?. Journal of forensic sciences, 2019, 64.1: 295-297. https://doi.org/10.1111/1556-4029.13826
- Fredman CS, Parsons SR, Aquino TI, Hamilton WP: Sudden death after a stress test in a patient with a large pericardial cyst. AmHeart J 1994, 127:946-950. https://doi.org/10.1016/0002-8703(94)90572-X
- Ozturk, E., Aparci, M., Haholu, A., Sonmez, G., Mutlu, H., Basekim, C. C., & Kizilkaya, E. (2007). Giant, dumbbell-shaped pericardial cyst. Texas Heart Institute Journal. 2007, 34(3), 386-387.
- Bandeira FC, de Sa VP, Moriguti JC, Rodrigues AJ, Jurca MC, Almeida- Filho OC, Marin-Neto JA, Maciel BC: Cardiac tamponade: an unusual complication of pericardial cyst. J AmSocEchocardiogr, 1996, 9:108-112. https://doi.org/10.1016/S0894-7317(96)90113-3
- Hekmat M, Ghaderi H,Tatari H,Shabestari AA, Mirjafari SA. Giant pericardial cyst: a case report and review of literature, Iran J Radiol. 2016 January;13(1): e21921. https://doi.org/10.5812/iranjradiol.21921
- White MS, Bodiwala KN, Bailey AL, Sorrell V. Symptomatic pericardial cyst in the presence of partial congenital absence of the pericardium, EuropeanHeartJournal-Cardiovascular Imaging, Volume 15, Issue 5, May 2014, Page 531, https://doi.org/10.1093/ehjci/jet242
- Lin, Y. K., Chen, Y. C., Chen, J. H., Chen, S. A. & Chen, Y. J. Adipocytes modulate the electrophysiology of atrialmyocytes: Implications in obesity-induced atrial fibrillation. Basic Res. Cardiol. 2012, 107, https://doi.org/10.1007/s00395-012-0293-1
- De Coster, T.,Claus, P., Kazbanov, I.V. et al. Arrhythmogenicity of fibro-fatty infiltrations. SciRep8, 2018, 2050. https://doi.org/10.1038/s41598-018-20450-w.
- Samanta, R.,Pouliopoulos, J., Thiagalingam, A. & Kovoor, P. Role of adiposet issue in the pathogenesis of cardiac arrhythmias. Hear. rhythm: official journal Heart Rhythm Soc. 2012, 13, 311–20. https://doi.org/10.1016/j.hrthm.2015.08.016