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Ann Thorac Surg 1998;66:608
© 1998 The Society of Thoracic Surgeons

Correspondence

Reply

Arthur F. Ng, MDa

a Department of Cardiothoracic Surgery, Cooper Hospital, University Medical Center, 3 Cooper Plaza, Camden, NJ 08103, USA

To the Editor

I thank Dr Shabb and colleagues for their comments in reference to our article [1]. Percutaneous, thoracoscopic and transsternal approaches are all reasonable options for drainage of a benign pericardial cyst. In our patient, the pericardial cyst content was viscous and contained necrotizing fragments of heavily calcified debris (measuring up to 1 cm), which would have challenged nonoperative drainage. I agree that contrast-enhanced computed tomography may better delineate anatomy than transesophageal echocardiography. However, transesophageal echocardiography may be used intraoperatively to guide the operation and to document any hemodynamic relief conferred by cyst excision.

References

  1. Ng A.F., Olak J. Pericardial cyst causing right ventricular outflow tract obstruction. Ann Thorac Surg 1997;63:1147-1148.[Abstract/Free Full Text]




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