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Epicardial cyst eroding left ventricular wall mimicking as simple pericardial cyst: a case report
  • +3
  • Dhiren shah,
  • Kishore Gupta,
  • Dhaval naik,
  • Amit chandan,
  • Chintan sheth,
  • Gautam shah
Dhiren shah
Care Institute of Medical Sciences
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Kishore Gupta
Care Institute of Medical Sciences
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Dhaval naik
Care Institute of Medical Sciences
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Amit chandan
Care Institute of Medical Sciences
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Chintan sheth
Care Institute of Medical Sciences
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Gautam shah
Care Institute of Medical Sciences
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Abstract

Epicardial cysts are rarer benign tumors than pericardial cysts. 17- year old boy presented with chest pain and palpitations and was diagnosed as mediastinal mass (pericardial cyst) on the basis of MRI and echocardiography. Surgical resection via thoracotomy was planned. Intraoperatively, the cyst was found to be epicardial in origin with close proximity to posterior descending artery. Therefore resection was concluded via midline approach and cardiopulmonary support. Despite detailed preoperative investigation and assessment, misdiagnosis of cardiac masses cannot be completely ruled out. Any undesired intraoperative diagnosis should be carefully dealt and a safer alternative approach can be considered for a better outcome.