Thorac Cardiovasc Surg 2012; 60(07): 488-490
DOI: 10.1055/s-0031-1280065
Case Reports
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Pericardial Cyst or Teratoma? Change of Strategy during Mediastinal Tumor Surgery

A. Rüffer
1  Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
,
J. Webinger
2  Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany
,
M. Glöckler
2  Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany
,
A. Purbojo
1  Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
,
S. Dittrich
2  Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany
,
R. A. Cesnjevar
1  Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany
,
R. Carbon
3  Department of Pediatric Surgery, University Hospital Erlangen, Erlangen, Germany
› Author Affiliations
Further Information

Publication History

05 April 2011

26 May 2011

Publication Date:
15 July 2011 (online)

Abstract

This report describes the management of an 8 × 8-cm cystic mass that arose from the anterior mediastinum and prolapsed into the right pleural cavity adherent to the pericardium in an asymptomatic 16-year-old girl. The patient was scheduled for a video-assisted thoracoscopic operation with exposure, puncture and suction of a suspected pericardial cyst. However, during the procedure the strategy was changed due to the solid consistency of the mass, and the lesion was extirpated in toto by a short anterolateral thoracotomy. The complete histopathological investigation showed a highly fibrous, cystic, mature teratoma.