References
  1. Omeroglu SN, Omeroglu A, Ardal H, Erkilinc A, Bal E, Ipek G, et al. Epicardial mesothelial cyst located over the left anterior descending coronary artery.Tex Heart Inst J. 2004;31:313–5.
  2. Hatemi, A. C., Kumbasar, U., Servet, E., Coskun, U., Bostan, C., & Oz, B. (2012). Epicardial Cysts: Report of Two Rare Cases. The Heart Surgery Forum, 15(1), E49-E50. https://doi.org/10.1532/HSF98.20111117.
  3. Scrofani R, Carro C, Beretta L, Antona C. Successful resection of an epicardial cyst. Ann Thorac Surg. 2002; 73:1633–4.
  4. Kim JY, Koo HJ, Lee M, Kim GS, Jung SH. Epicardial cyst originating from right ventricle. Korean J Thorac Cardiovasc Surg 2013; 46:138–41.
  5. Kutlay H, Yavuzer I, Han S, Cangir AK. Atypically located pericardial cysts. Ann Thorac Surg 2001; 72:2137-9.
  6. Ozasa A, Nakazawa K, Kamegai M, Miyake F, Murayama M, Sugai J. A case of epicardial cyst. Jpn Circ J. 1991; 55:53–7.
  7. Chopra PS, Duke DJ, Pellett JR, Rahko PS. Pericardial cyst with partial erosion of the right ventricular wall. Ann Thorac Surg. 1991 May; 51(5):840-1. doi: 10.1016/0003-4975(91)90149-k. PMID: 2025099.
  8. Kaneyuki, D., Sakata, T., Nomura, A. et al. Off-pump resection of a giant inflamed epicardial cyst. Surg case rep 4, 87 (2018). https://doi.org/10.1186/s40792-018-0495-3.
  9. Zhou W, Srichai MB. Multi-modality Imaging Assessment of Pericardial Masses. Curr Cardiol Rep. 2017 Apr; 19(4):32. Doi: 10.1007/s11886-017-0845-y. PMID: 28315124.
Figure 1: MRI in transverse section and sagittal view showing well defined cystic mass in posterior and lateral portion abutting the left cardiac border.
Figure 2:
a) Intraoperative image depicting large size of cyst and feeder vessels over surface b) Post-operative image showing cyst floor with erosion of myocardial tissue and plicated margins.
Figure 3: Histopathological images showing a single layer of mesothelial cells and blood and lymphatic vessels, smooth muscle cells, lymphocyte infiltration, and fibrosis.