Surgical drainage and partial resection of a voluminous calcified parasitic pericardial cyst led to full clinical resolution in 1 patient with severe right ventricular compression.
Case Report (n=1)
This case highlights the importance of multimodality imaging in evaluating unusual pericardial diseases and considering parasitic etiologies in patients with relevant epidemiological risk factors.
Abstract Background Pericardial cysts are rare lesions that are typically asymptomatic. However, when large or calcified, they may compromise cardiac function. Case Summary We report the case of a 57-year-old man with progressive exertional dyspnea. Multimodality imaging revealed a large calcified pericardial cyst causing significant right ventricular compression and interventricular dependence. Given his history of prolonged residence in Central America, a parasitic etiology was suspected. Surgical drainage with partial resection was performed under cardiopulmonary bypass. Histology confirmed a parasitic process. Postoperative recovery was uneventful, and the patient was discharged on antiparasitic therapy with full clinical resolution. Conclusion This case underscores the crucial role of multimodality imaging in the assessment of unusual pericardial disease and highlights the importance of considering parasitic etiologies in patients with relevant epidemiological risk factors.
Volpe et al. (Wed,) conducted a case report in Calcified pericardial cyst with severe right ventricular compression (n=1). Surgical drainage with partial resection and antiparasitic therapy was evaluated. Surgical drainage and partial resection of a voluminous calcified parasitic pericardial cyst led to full clinical resolution in 1 patient with severe right ventricular compression.