Three cases of symptomatic pleuro-pericardic cysts were treated with v
ideo-assisted surgery. Complete exeresis of the cysts was possible in
all cases. The follow-up was uneventful and hospitalization was 4 to 5
days. Pleuro-pericardic cysts represent 5 to 10 % of the mediastinal
tumours. Clinical latency and a constantly benign course are character
istic features. In most cases, tomodensitometry confirms the diagnosis
. The diagnosis may be uncertain only in symptomatic forms (atypical l
ocalization, high density on tomodensitometry). In these cases, video-
assisted surgery is an interesting alternative to transparietal puncti
on-evacuation or to exeresis via thoracotomy.