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European Heart Journal 1980 1(3):201-206;
Copyright © 1980 by the European Society of Cardiology.
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© 1980 The European Society of Cardiology

Non-invasive diagnosis of a pericardial cyst. Combined use of M-mode echocardiography and computed tomography*

W. G. DANIEL, W. DÖHRING, G. FRANK, K. GAHL and P. R. LICHTLEN

The Division of Cardiology, Department of Internal Medicine, and the Department of Radiology, and the Department of Thoracic and Cardiovascular Surgery, Hannover Medical School Hannover, Federal Republic of Germany

Received 11 March 1980; .

Requests far reprints to: Werner G. Daniel. M.D., Division of Cardiology, Department of Internal Medicine, Hannover Medical School, Karl-Wiechcrt-Allee 9, D-3000 Hannover 61, Federal Republic of Germany

The case of a left-sided pericardial cyst (PC) in a 24 year old asymptomatic patient is presented. Review of previous chest X-rays indicated that the PC had developed within five years. The PC could be clearly identified by M-mode echocardiography (E); the pattern, however, was similar to that of a pseudoaneurysm of the left ventricle, the latter being an important differential diagnosis. Computed tomography (CT) showed not only the position and size of the PC but allowed, based on attenuation values, a clear differentiation between a pseudoaneurysm and a cystic structure filled with an aqueous solution. The combined use of E and CT seems to represent a valuable non-invasive tool in the diagnosis of abnormal configurations of the left ventricle.

Key Words: Pericardial cyst • echocardiography • computed tomography • left ventricular pseudoaneurysm


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