title: [Cardiac compression by a large thymic cyst. Apropos of a case, review of the literature].
abstract: Thymic cysts are rare and almost always asymptomatic. The authors report the case of a 45 year old woman with a thymic cyst diagnosed after recurrent right sided heart failure resulting in signs suggestive of adiastole, regressing after "pleural" (mainly cystic) aspiration and diuretic therapy without any morphological or functional changes on Doppler echocardiography. This report concerns a rare tumour, with an exceptional volume (2 litres) extending down the cardiac borders and causing cardiac compression. It illustrates the diagnostic difficulty of a pathology with an unusual clinical presentation, despite complementary investigations including CT scan and MRI, very sensitive in this type of problem. A complete cure was obtained by total surgical ablation.
authors.affiliation: Service de cardiologie, Hôpital Cardiologique du Haut-Lévèque, CHU de Bordeaux.
authors.forename: D
authors.initials: D
authors.lastname: Hamon
authors.forename: R
authors.initials: R
authors.lastname: Roudaut
authors.forename: G
authors.initials: G
authors.lastname: de Verbizier
authors.forename: P
authors.initials: P
authors.lastname: Durandet
authors.forename: P
authors.initials: P
authors.lastname: Clerc
authors.forename: J M
authors.initials: JM
authors.lastname: Meunier
authors.forename: F
authors.initials: F
authors.lastname: Fontan
authors.forename: M
authors.initials: M
authors.lastname: Dallocchio
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D002313:Cardiomyopathy, Restrictive / Q000175:diagnosis; D003251:Constriction, Pathologic; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008476:Mediastinal Cyst / Q000150:complications* / Q000175:diagnosis; D010494:Pericarditis, Constrictive / Q000175:diagnosis; D012008:Recurrence; D014057:Tomography, X-Ray Computed
vernacular_title: Compression cardiaque par un volumineux kyste thymique en bissac. A propos d'un cas, revue de la littérature.