A Recurrent Case of Mesothelial Pericardial Cyst

This is a case of a 37-year-old female patient with past medical history of mitral valve prolapse and benign mesothelial pericardial cyst status post laparoscopic resection who presented to the emergency department with a chief complaint of right-sided sharp non-radiating chest pain due to recurrent case of benign mesothelial pericardial cyst. Though this is not a common pathology, it does overlap with common cardiovascular symptoms/conditions; not limited to but including chest pain, dyspnea, palpitations, pericardial effusions, infections and arrhythmias. It is crucial to have appropriate history and physical exam and appropriate evaluation to rule out pericardial cysts as well as their locations and their potential lethal mechanical implication on crucial nearby structures. This is significant in order to avoid uncommon but lethal cardiac complications in this condition such as cardiac arrhythmias, cardiac tamponade, right ventricular outflow tract and even sudden cardiac death.

Uncommon Incidental Diagnosis of Lipomatous Hypertrophy of the Interatrial Septum

Lipomatous hypertrophy of the interatrial septum (LHIS) is a benign non-neoplastic cardiac lesion that previously has not been readily described, but with the increasing usage of computed tomography and echocardiography, this is now becoming a more well-characterized incidental finding. This case highlights an incidental finding of LHIS while a patient was undergoing treatment for a routine gastrointestinal bleed.

Faint of Heart: A Case of Atrial Myxoma Presenting With Atypical Syncope

Syncope is a frequent reason for elderly patients to present to an outpatient office. The underlying cause of syncope can range from benign to serious. Although serious cases of syncope are rare, appropriate workup can help detect and address potentially fatal pathologies. We present a case of a 74-year-old woman who presented with an episode of syncope with associated epigastric cramping. Sudden syncope without significant comorbidities prompted further diagnostic workup, which revealed a rare cardiac myxoma. This case underscores the importance of ruling out potentially fatal causes prior to favoring more conservative diagnoses when investigating syncope in the elderly population.