Pericardial cysts are rare benign mediastinal lesions that may present with compressive symptoms depending on their size and location. Anaesthetic management of patients undergoing excision of such cysts can be challenging due to their proximity to vital cardiopulmonary structures, the potential for intraoperative complications, and the need for one-lung ventilation (OLV) to facilitate surgical access during thoracotomy. We report the perioperative anaesthetic considerations in a 37-year-old female scheduled for excision of a pericardial cyst via a right thoracotomy approach.
Keywords: Pericardial cyst, Thoracotomy, Anaesthesia, Mediastinal mass, Airway management, One-lung ventilation