RESUMEN
Pericardial coelomic cysts are uncommon tumors that are usually detected on a routine roentgenogram of the chest in an asymptomatic individual. Findings from physical examination are usually unremarkable. Needle aspiration, after echocardiographic finding of a cyst, may be diagnostic and therapeutic. Surgery may be indicated to exclude neoplasm or vascular abnormality. This case reort presents the largest coelomic cyst yet described. Ultrasonic studies were useful in the correct preoperative diagnosis, and surgical excision relieved the patient's symptoms.
Asunto(s)
Quistes/diagnóstico , Cardiopatías/diagnóstico , Pericardio , Quistes/diagnóstico por imagen , Cardiopatías/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Cintigrafía , UltrasonografíaRESUMEN
The clinical diagnostic features of right ventricular myxoma are described in a recent patient and related to the 15 cases previously reported. The presence of a pulmonic systolic ejection murmur with a delayed (120 to 140 msec.) and accentuated pulmonic second sound, or calcification in the region of the right ventricular outflow tract should suggest this lesion. Cardiac catheterization with angiocardiography in diagnostic. Ga scanning may assist in the diagnosis and followup after surgical removal of the myxoma. Early surgical removal will avoid the possibility of sudden death.