The Ruptured Pericardial Cyst to the Right Atrium: A Case Report

  • Freidoun SABZI Preventive Cardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  • Reza FARAJI Department of Biomedical Engineering, Zagros Higher Education Institute, Kermanshah, Iran
Keywords: Pericardial cyst (PC), Pericardial effusion, Mediastinal cyst


The pericardial cysts (PC) are rare congenital anomaly. They are usually asymptomatic or incidentally found during surgery or by an imaging modality. We report a 35-yr-old man referred to Imam Ali Hospital, Kermanshah, western Iran in 2017, with palpitation, chest pain and dyspnea and physical exam revealed sign and symptoms of right atrial compression and tamponade.


1. Patel J, Park C, Michaels J, Rosen S, Kort S. Peri-cardial cyst: case reports and a literature review. Echocardiography. 2004;21:269-72.
2. Celik T, Firtina S, Bugan B et al. A giant pericardial cyst in an unusual localization. Cardiol J. 2012;19:317-9.
3. McMillan A, Souza CA, Veinot JP et al. A Large Pericardial Cyst Complicated by a Pericarditis in a Young Man With a Mediastinal Mass. Ann Thorac Surg. 2009; 88: e11-3.
4. Ilhan E, Altin F, Ugur O et al. An unusual presenta-tion of pericardial cyst: Recurrent syncope in a young patient. Cardiol J. 2012; 19: 188-91.
5. Bava GL, Magliani L, Bertoli D et al. Complicated Pericardial Cyst: Atypical Anatomy and Clinical Course. Clin Cardiol. 1998; 21: 862-4.
6. Ozturk E, Aparci M, Haholu A, et al. Giant, dumbbell-shaped pericardial cyst. Tex Heart Inst J. 2007; 34: 386-7.
7. Najib MQ, Chaliki HP, Raizada A, et al. Sympto-matic pericardial cyst: a case series. Eur J Echocar-diogr. 2011; 12: E43.
8. Borges AC, Gellert K, Dietel M et al. Acute right-sided heart failure due to hemorrhage into a peri-cardial cyst. Ann Thorac Surg. 1997; 63: 845-7.
9. Hoque M, Siripurapu S. Methicillin-resistant Staphy-lococcus aureus-infected pericardial cyst. Mayo Clin Proc. 2005; 80: 1116.
10. Nishigami K, Hirayama T, Kamio T. Pericardial cyst rupture mimicking acute aortic syndrome. Eur Heart J. 2008; 29: 1752.
How to Cite
SABZI F, FARAJI R. The Ruptured Pericardial Cyst to the Right Atrium: A Case Report. Iran J Parasitol. 15(1):142-146.
Case Report(s)