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An epicardial cyst in a child

Published online by Cambridge University Press:  15 August 2006

Volker Debus ,
Thomas Krasemann  and
Michael Semik
Volker Debus
Affiliation:
Departments of Pediatric Cardiology, Westfaelische Wilhelms-University, Muenster, Germany
Thomas Krasemann
Affiliation:
Departments of Pediatric Cardiology, Westfaelische Wilhelms-University, Muenster, Germany
Michael Semik
Affiliation:
Thoracic and Cardiovascular Surgery, Westfaelische Wilhelms-University, Muenster, Germany
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Abstract

An 8-year-old girl, without any previous medical history, presented with a first short syncope. Physical examination was unremarkable. Transthoracic echocardiography revealed a thin-walled, echo-free cystic structure adjacent to the posterior wall of the left ventricle, and compressing it moderately. Other echocardiographic findings were normal. Both computed tomography and magnetic resonance imaging suggested a simple pericardial cyst, but during surgery we found an epicardial cyst with partial involvement of the circumflex branch of the left coronary artery. Cardiopulmonary bypass was necessary for successful resection of the cyst, leaving behind only the small area in continuity with the coronary artery.

Keywords

Epicardial cystsuccessful resectionchildsyncope
Type
Brief Report
Information
Cardiology in the Young , Volume 11 , Issue 6 , November 2001 , pp. 660 - 662
Copyright
2001 Cambridge University Press

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