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Ann Thorac Surg 2007;84:282-284
© 2007 The Society of Thoracic Surgeons

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Case Reports

Acute Cardiac Tamponade Due to a Bleeding Pericardial Cyst in a 3-Year-Old Child

^a Department of Cardiovascular Surgery, Kyushu University, Fukuoka, Japan
^b Department of Pediatrics, Kyushu University, Fukuoka, Japan

Accepted for publication January 29, 2007.

^_* Address correspondence to Dr Tanoue, Department of Cardiovascular Surgery, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan (Email: tanoue{at}heart.med.kyushu-u.ac.jp).

We report a case of a pericardial cyst complicated with acute cardiac tamponade in a 3-year-old child with no previous cardiac history who was transferred to our university hospital because of hemodynamic shock. A chest roentgenogram revealed marked cardiac enlargement, and transthoracic echocardiography showed massive pericardial effusion with a moving cystic structure. Percutaneous needle aspiration yielded bloody pericardial fluid. Emergency drainage of the pericardial effusion and resection of the cyst were performed through a median sternotomy. We found a blood-containing cyst that was attached to the right atrium near the sinus node and to the inferior wall of the pericardial cavity.