Download PDF
Thorac Cardiovasc Surg 2012; 60(07): 488-490
DOI: 10.1055/s-0031-1280065
Case Reports
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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)

    Permissions and Reprints All articles of this category

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.

Keywords

pericardium - mediastinal tumor - histology - imaging (all modalities) - minimally invasive surgery (includes port access minithoracotomy)
 

  • References

  • 1 Moeller KH, Rosado-de-Christenson ML, Templeton PA. Mediastinal mature teratoma: imaging features. AJR Am J Roentgenol 1997; 169: 985-990
    PubMedGoogle Scholar
  • 2 Fredman CS, Parsons SR, Aquino TI, Hamilton WP. Sudden death after a stress test in a patient with a large pericardial cyst. Am Heart J 1994; 127: 946-950
    CrossrefPubMedGoogle Scholar
  • 3 Borges AC, Gellert K, Dietel M, Baumann G, Witt C. Acute right-sided heart failure due to hemorrhage into a pericardial cyst. Ann Thorac Surg 1997; 63: 845-847
    CrossrefPubMedGoogle Scholar
  • 4 McMillan A, Souza CA, Veinot JP , et al. A large pericardial cyst complicated by a pericarditis in a young man with a mediastinal mass. Ann Thorac Surg 2009; 88: e11-e13
    CrossrefPubMedGoogle Scholar
  • 5 Komodromos T, Lieb D, Baraboutis J. Unusual presentation of a pericardial cyst. Heart Vessels 2004; 19: 49-51
    CrossrefPubMedGoogle Scholar
  • 6 Patel J, Park C, Michaels J, Rosen S, Kort S. Pericardial cyst: case reports and a literature review. Echocardiography 2004; 21: 269-272
    CrossrefPubMedGoogle Scholar
  • 7 Yu CW, Hsieh MJ, Hwang KP , et al. Mediastinal mature teratoma with complex rupture into the pleura, lung, and bronchus complicated with mycoplasma pneumonia. J Thorac Cardiovasc Surg 2007; 133: 1114-1115
    CrossrefPubMedGoogle Scholar
  • 8 Brown KM, Banerjee S, Kane PA, Marrinan MT. Intrapericardial teratoma presenting with circulatory compromise. Ann Thorac Surg 2006; 81: 374
    CrossrefPubMedGoogle Scholar