Abstract
Pericardial cysts are rare mediastinal abnormalities with an incidence rate of 1 per 100,000. They are mostly asymptomatic, discovered incidentaly during routine imaging examination.
The management of pericardial cysts depends on fheir size and symptoms, where asymptomatic ones are usually observed, while symtomatic ones are indicated for a surgical resection or percutaneous aspiration. We report the case of patient with giant pericardial cyst presenting with chest pain and precollapse, succesfully extirpated using video-assisted thoracoscopic surgery.