Pericardial cyst: a rare congenital anomaly

ABSTRACT

Pericardial cyst is an uncommon congenital abnormality that can occur in the middle mediastinum. The clinical presentation is variable and can range from asymptomatic patients in whom the diagnosis is incidental to those cases with complaints such as pain or heaviness in chest, difficulty in breathing or cough. These cysts can lead to cardio-pulmonary complications such right main stem bronchus obstruction, ventricular outflow obstruction, pulmonary artery stenosis, arrhythmias or cardiac temponade which can prove fatal. Due to the variable nature of patients' complaints and grave complications associated with pericardial cyst, a detailed work-up is necessary to reach a diagnosis. We present this case in a middle-aged man who presented with feeling of heaviness in chest. He underwent thorough work-up in order to detect a pericardial cyst