Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction
Case Presentation: A 41-year-old otherwise healthy male presented to the emergency department with recurrent exertional near-syncope. He was eventually found to have a large pericardial cyst causing an outflow obstruction. After resection of the cyst by cardiothoracic surgery, he had an uneventful h...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2022-08-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/9g50d716 |
| _version_ | 1818002504198127616 |
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| author | Ryan Offman Joseph Skopek |
| author_facet | Ryan Offman Joseph Skopek |
| author_sort | Ryan Offman |
| collection | DOAJ |
| description | Case Presentation: A 41-year-old otherwise healthy male presented to the emergency department with recurrent exertional near-syncope. He was eventually found to have a large pericardial cyst causing an outflow obstruction. After resection of the cyst by cardiothoracic surgery, he had an uneventful hospital course and was discharged seven days later with no recurrent syncopal episodes. Discussion: We describe an otherwise healthy patient who exhibited symptomatic left ventricular outflow obstruction from a pericardial cyst. These cysts are usually benign and asymptomatic, although they can progress to cause significant morbidity or mortality. Surveillance is recommended if no hemodynamic compromise is present. Patients who are symptomatic or have hemodynamic compromise may undergo needle aspiration or thoracoscopy with resection. |
| first_indexed | 2024-04-14T03:46:44Z |
| format | Article |
| id | doaj.art-462649976d02454186018300124fa492 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-04-14T03:46:44Z |
| publishDate | 2022-08-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-462649976d02454186018300124fa4922022-12-22T02:14:13ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2022-08-016310.5811/cpcem2022.6.56749cpcem-6-266Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow ObstructionRyan OffmanJoseph SkopekCase Presentation: A 41-year-old otherwise healthy male presented to the emergency department with recurrent exertional near-syncope. He was eventually found to have a large pericardial cyst causing an outflow obstruction. After resection of the cyst by cardiothoracic surgery, he had an uneventful hospital course and was discharged seven days later with no recurrent syncopal episodes. Discussion: We describe an otherwise healthy patient who exhibited symptomatic left ventricular outflow obstruction from a pericardial cyst. These cysts are usually benign and asymptomatic, although they can progress to cause significant morbidity or mortality. Surveillance is recommended if no hemodynamic compromise is present. Patients who are symptomatic or have hemodynamic compromise may undergo needle aspiration or thoracoscopy with resection.https://escholarship.org/uc/item/9g50d716 |
| spellingShingle | Ryan Offman Joseph Skopek Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction Clinical Practice and Cases in Emergency Medicine |
| title | Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction |
| title_full | Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction |
| title_fullStr | Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction |
| title_full_unstemmed | Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction |
| title_short | Exertional Near-Syncope: Pericardial Cyst as a Cause of Left Ventricular Outflow Obstruction |
| title_sort | exertional near syncope pericardial cyst as a cause of left ventricular outflow obstruction |
| url | https://escholarship.org/uc/item/9g50d716 |
| work_keys_str_mv | AT ryanoffman exertionalnearsyncopepericardialcystasacauseofleftventricularoutflowobstruction AT josephskopek exertionalnearsyncopepericardialcystasacauseofleftventricularoutflowobstruction |