Key result
Surgical excision of a complex calcified pericardial cyst achieves complete symptom resolution at 8 months.
Why the study?
Haemorrhagic pericardial cysts are rare and can lead to cardiac cirrhosis, with surgical management of complicated cases being challenging and carrying poor outcomes.
Case Report (n=1)
No
Surgical intervention is feasible and potentially curative for calcified pericardial cysts causing cardiac cirrhosis when proactive management of vasoplegia and coagulopathy is employed.
May support surgical excision for rare calcified pericardial cysts with cardiac cirrhosis; hypothesis-generating and requires prospective validation.
Haemorrhagic pericardial cysts are rare and may be complicated by encasement of the heart, right heart failure and, rarely, cardiac cirrhosis. Surgical management of complicated cysts is challenging and has poor outcomes. We report a case of successful surgical management of a complicated pericardial cyst presenting with cardiac cirrhosis and the challenges associated with this condition.
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Lykins et al. (2022) conducted a case report in haemorrhagic pericardial cyst with cardiac cirrhosis (n=1). Surgical excision was evaluated on Surgical survival and symptom resolution. Surgical excision of a complex calcified and haemorrhagic pericardial cyst associated with cardiac cirrhosis was successfully performed, leading to complete symptom resolution at 8 months follow-up.
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