Unexplained cough: pericardial cyst innocent bystander or culprit?

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Sharon Elizabeth Orrange *
Leslie A. Saxon
Ahmet Baydur
P. Michael McFadden
(*) Corresponding Author:
Sharon Elizabeth Orrange | orrange@usc.edu

Abstract

Pericardial cysts are rare mediastinal cysts and an uncommon cause of cough. Patients are often asymptomatic but can present with cough, dyspnea and atypical chest pain. We describe the case of a 30 year old female with a 3 month history of unexplained cough. Extensive workup and empiric treatment for the standard causes of cough were unsuccessful. More detailed workup including bronchoscopy, endoscopy, pulmonary function testing and otolaryngology evaluation was normal. Computed tomographic (CT) scan and Magnetic resonance imaging (MRI) of the chest revealed a 5.8 cm pericardial cyst in the left cardiophrenic angle. Video assisted thorascopic surgery (VATS) was performed for removal of the cyst and the cough resolved completely postoperatively.

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Author Biographies

Sharon Elizabeth Orrange, Keck USC School of Medicine

I am an Internist in private practice and an Assistant Professor of Medicine at the Keck/USC school of Medicine

Leslie A. Saxon, Keck USC School of Medicine

Chief, Division of Cardiovascular Medicine in the Department of Medicine at the Keck USC School of Medicine

Ahmet Baydur, Keck USC School of Medicine

Professor in the Divison of Pulmonary Critical Care, Department of Medicine at the Keck USC School of Medicine.

P. Michael McFadden, Keck USC School of Medicine

Professor in the Division of Cardiothoracic Surgery, in the Department of Surgery at the Keck USC School of Medicine.