Thorac Cardiovasc Surg Rep 2016; 05(01): 47-49
DOI: 10.1055/s-0035-1571139
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Pericarditis in a Child with an Intrapericardial Bronchogenic Cyst

Tim Attmann
1   Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Christina Grothusen
1   Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Carsten Rickers
2   Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Peter Dütschke
3   Department of Anaesthesiology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Hans-Heiner Kramer
2   Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Jens Scheewe
1   Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
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Publikationsverlauf

03. November 2015

30. November 2015

Publikationsdatum:
12. Februar 2016 (online)

Abstract

Background An intrapericardial bronchogenic cyst (IBC) is a rare congenital malformation seemingly asymptomatic in most subjects.

Case Description A 9-year-old boy presented with persistent chest pain and fever. Imaging revealed a large pericardial effusion with a tumor located at the left atrial appendage extending behind the great vessels. Mass rupture with scattered mucoid debris was found intra-operatively. The tumor was excised and the IBC was confirmed by immunohistochemistry. A postcardiotomy syndrome occurred four weeks post-operative. It was treated conservatively. Since then, follow-up visits have remained uneventful.

Conclusion IBCs are a scarce, but serious cause of persistent inflammation in children.

 
  • References

  • 1 Wright CD. Mediastinal tumors and cysts in the pediatric population. Thorac Surg Clin 2009; 19 (1) 47-61 , vi vi.
  • 2 Okada Y, Mori H, Maeda T, Obashi A, Itoh Y, Doi K. Congenital mediastinal bronchogenic cyst with malignant transformation: an autopsy report. Pathol Int 1996; 46 (8) 594-600
  • 3 Sanjeeva NCG, Sarkar A, Ahmed I, Patil S. Large Bronchogenic cyst Masquerading as Pericardial cyst and Causing Congenital lobar Emphysema. Journal of Cardiovascular Disease Research. 2015; 6: 97-99
  • 4 Li Z, Wang X, Yang E, Gao K, Huang L. Gigantic intrapericardial bronchogenic cyst. Neth Heart J 2011; 19 (12) 532-533
  • 5 Panda SS, Agarwala S, Bhatnagar V, Kabra SK, Jayaswal A, Bhalla AS. A survey of musculoskeletal and aesthetic abnormalities after thoracotomy in pediatric patients. J Indian Assoc Pediatr Surg 2013; 18 (4) 136-142
  • 6 Dalili M, Zamani H, Aarabi-Moghaddam M. Pericardial effusion after pediatric cardiac surgeries: a single center observation. Rev Cardiovasc Med 2012; 1 (1) 28-32