{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T05:35:17Z","timestamp":1784266517195,"version":"3.55.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T00:00:00Z","timestamp":1618185600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Pericardial cysts are rare congenital mediastinal cysts. They are typically asymptomatic and are often discovered incidentally, although some patients may present with chest pain and dyspnoea. Asymptomatic patients are managed conservatively with multiple modalities, with surgical resection often recommended for symptomatic patients only. The frequency of follow-up imaging has yet to be established.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We report a case of a 59-year-old female with a gradually increasing pericardial cyst, first noted 10\u2009years prior as an abnormal cardiac silhouette on routine chest radiography. Further evaluation confirmed the presence of a pericardial cyst compressing the left ventricle with new-onset atrial fibrillation. The patient underwent successful thoracoscopic excision of the pericardial cyst under general anaesthesia. The patient\u2019s post-operative course was uneventful, and she was ultimately discharged in stable condition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Pericardial cysts are typically benign, but complications may arise in the case of compression of adjacent cardiac structures, inflammation, haemorrhage, or rupture of the cyst. Magnetic resonance imaging is considered the better modality for both diagnosis and follow-up of pericardial cysts. This case illustrates the need for long-term clinical follow-up in order to optimize the time for treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab116","type":"journal-article","created":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T03:43:25Z","timestamp":1618199005000},"source":"Crossref","is-referenced-by-count":2,"title":["Surgical resection of a giant pericardial cyst: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1825-1188","authenticated-orcid":false,"given":"Eiji","family":"Taguchi","sequence":"first","affiliation":[{"name":"Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-ku, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Oshitomi","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-ku, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takihiro","family":"Kamio","sequence":"additional","affiliation":[{"name":"Division of Pathology, Saiseikai Kumamoto Hospital Laboratory Center, 5-3-1 Chikami, Minami-ku, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, 5-3-1 Chikami, Minami-ku, Kumamoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,4,12]]},"reference":[{"key":"2021071002572648900_ytab116-B1","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1097\/00004728-198901000-00030","article-title":"Benign mediastinal cysts: pointed appearance on CT","volume":"13","author":"Demos","year":"1989","journal-title":"J Comput Assist Tomogr"},{"key":"2021071002572648900_ytab116-B2","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1093\/eurheartj\/ehv318","article-title":"2015 ESC Guidelines for the diagnosis and management of pericardial diseases. 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A case report and review of the literature","volume":"11","author":"Marigliano","year":"2010","journal-title":"G Ital Cardiol (Rome)"},{"key":"2021071002572648900_ytab116-B4","doi-asserted-by":"crossref","first-page":"1953","DOI":"10.1016\/S0003-4975(02)05008-7","article-title":"Resection of a symptomatic pericardial cyst using the computer-enhanced da Vinci Surgical System","volume":"75","author":"Bacchetta","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2021071002572648900_ytab116-B5","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.pcad.2016.12.011","article-title":"Pericardial masses, cysts and diverticula: a comprehensive review using multi-modality imaging","volume":"59","author":"Tower-Rader","year":"2017","journal-title":"Prog Cardiovasc Dis"},{"key":"2021071002572648900_ytab116-B6","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/B978-1-4377-2262-8.00059-1","volume-title":"Dynamic Echocardiography","author":"Kronzon","year":"2011","edition":"ed."},{"key":"2021071002572648900_ytab116-B7","first-page":"97","article-title":"Spontaneous resolution of a large pericardial cyst","volume":"90","author":"Ambalavanan","year":"1997","journal-title":"Tenn Med"},{"key":"2021071002572648900_ytab116-B8","doi-asserted-by":"crossref","first-page":"S79","DOI":"10.1148\/radiographics.22.suppl_1.g02oc09s79","article-title":"Imaging of cystic masses of the mediastinum","volume":"22","author":"Jeung","year":"2002","journal-title":"RadioGraphics"},{"key":"2021071002572648900_ytab116-B9","first-page":"37","volume-title":"Computed Tomography and Magnetic Resonance of the Thorax","author":"Naidish","year":"1999","edition":"."},{"key":"2021071002572648900_ytab116-B10","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1016\/0002-8703(95)90293-7","article-title":"Mechanical treatment of atrial fibrillation: removal of pericardial cyst by thoracoscopy","volume":"129","author":"Vlay","year":"1995","journal-title":"Am Heart J"},{"key":"2021071002572648900_ytab116-B11","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1510\/icvts.2010.261594","article-title":"Right mesothelial pericardial cyst determining intractable atrial arrhythmias","volume":"12","author":"Generali","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/4\/ytab116\/37021508\/ytab116.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/5\/4\/ytab116\/37021508\/ytab116.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T06:58:49Z","timestamp":1625900329000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytab116\/6220420"}},"subtitle":[],"editor":[{"given":"Parham","family":"Eshtehardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Zahra raisi","family":"Estabragh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Roberto","family":"Lorusso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Laszlo","family":"Gobolos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Brett Sydney","family":"Bernstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Aiste Monika","family":"Jakstaite","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2021,4,1]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4,5]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytab116","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,4,1]]},"published":{"date-parts":[[2021,4,1]]},"article-number":"ytab116"}}