title: Giant epicardial cyst presenting as acute cardiac tamponade in a 2-year-old boy.
abstract: Cystic structures within the pericardial cavity are rare. They are divided into epicardial and pericardial variants. Pericardial and epicardial cysts rarely cause symptoms. This report describes a case of epicardial cyst with acute cardiac tamponade in a 2-year-old boy with no previous cardiac history who was transferred to our hospital because of hemodynamic instability. Emergency drainage of the pericardial effusion and complete excision of the cyst were performed through a median full sternotomy.
authors.affiliation: Department of Pediatric Cardiac Surgery, Saitama Medical University, International Medical Center, Saitama, Japan masuoka@saitama-med.ac.jp.
authors.forename: Ayumu
authors.initials: A
authors.lastname: Masuoka
authors.affiliation: Department of Pediatrics, Saitama Medical University Hospital, Saitama, Japan.
authors.forename: Hayato
authors.initials: H
authors.lastname: Sakurai
authors.affiliation: Department of Pediatric Cardiology, Saitama Medical University, International Medical Center, Saitama, Japan.
authors.forename: Masahisa
authors.initials: M
authors.lastname: Shiraishi
authors.affiliation: Department of Pediatric Cardiology, Saitama Medical University, International Medical Center, Saitama, Japan.
authors.forename: Shigeki
authors.initials: S
authors.lastname: Yoshiba
authors.affiliation: Department of Pediatric Cardiac Surgery, Saitama Medical University, International Medical Center, Saitama, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Katogi
authors.affiliation: Department of Pediatric Cardiac Surgery, Saitama Medical University, International Medical Center, Saitama, Japan.
authors.forename: Takaaki
authors.initials: T
authors.lastname: Suzuki
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D002315:Cardiopulmonary Bypass / Q000379:methods; D002675:Child, Preschool; D004322:Drainage / Q000379:methods; D004452:Echocardiography / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008476:Mediastinal Cyst / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D012770:Shock, Cardiogenic / Q000209:etiology*; D056346:Sternotomy / Q000379:methods; D016896:Treatment Outcome
keywords: Cardiac tamponade; cardiogenic; heart atria; infant; mediastinal cyst; pericardium; shock