Giant Pericardial Cyst with Features of Right Heart Compression

Pericardial cyst is an uncommon congenital anomalies. Mostly asymptomatic but may be present with medical emergencies like cardiac tamponade. Here we are reporting a case of 50 years old male, presented with dyspnea, prominent neck veins with pedal edema. A CECT scan of thorax and echocardiography revealed a large pericardial cyst with approximately 12x10x6 cm in the right lateral and inferior aspect of heart compressing the right heart chamber. Patient was decided to be managed by surgical intervention via left thoracotomy approach A large pericardial cyst filled with dark colored fluid and debris, was evacuated and cyst wall was resected. There was immediate symptomatic relieve of patient during post operative period. The surgical resection has been demonstrated as the definitive cure for pericardial cyst with of hemodynamic compromise by evident compression of the right chamber. Since operative risks are low in both open thoracotomy and minimally invasive techniques, it is reasonable to offer resection for all pericardial cysts in otherwise healthy patients for whom the risk of surgery is low.