Unexplained cough: pericardial cyst innocent bystander or culprit?


Submitted: 6 February 2011
Accepted: 8 March 2011
Published: 21 March 2011
Abstract Views: 2516
PDF: 1106
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Authors

Pericardial cysts are uncommon mediastinal cysts and a rare respiratory cause. Patients are frequently asymptomatic, but cough, dyspnea, and atypical chest discomfort may be present. A 30-year-old female with a three-month history of unexplained wheeze is described. Extensive diagnostic testing and symptomatic treatment for the common causes of cough were ineffectual. Normal results were obtained from bronchoscopy, endoscopy, pulmonary function tests, and otolaryngology evaluation. Chest computed tomography (CT) and magnetic resonance imaging (MRI) revealed a pericardial cyst measuring 5.8 cm in the left cardiophrenic angle. The cyst was removed using video-assisted thorascopic surgery (VATS), and the wheezing resolved completely postoperatively.


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.

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Orrange, S. E., Saxon, L. A., Baydur, A., & McFadden, P. M. (2011). Unexplained cough: pericardial cyst innocent bystander or culprit?. Chest Disease Reports, 5(1), e1. https://doi.org/10.4081/cdr.5.14

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