Conservative management of a pericardial cyst in a high-risk dialysis patient resulted in minimal size increase over 20 months.
Supports conservative management in high-risk dialysis patients; leaves open need for larger studies on cyst natural history.
flammation (Fig. The patient was treated conservatively because of high surgical risk attributed to severe kidney failure. A repeated TTE with the apical 4-chamber view at 20 months later showed minimal increase in the size of the pericardial cyst. The discovery of a pericardial cyst obliges the clinician to perform a broad differential diagnosis with a coronary artery aneurysm, dextrocardia, malignancy, and even pneumonia. 5) CMR may help in this diagnosis.
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Pugliatti et al. (2016) studied this question.
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