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Ann Thorac Surg 2009;87:1920-1923. doi:10.1016/j.athoracsur.2008.10.051
© 2009 The Society of Thoracic Surgeons
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Alexander Lembcke
Takeshi Komoda
Nicola E. Hiemann
Roland Hetzer
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Case Reports

Bronchogenic Cyst of the Interatrial Septum Presenting as Atrioventricular Block

Adrian C. Borges, MDa,*, Fabian Knebel, MDa,*,*, Alexander Lembcke, MDb, Alexander Panda, MD, PhDc, Takeshi Komoda, MD, PhDd, Nicola E. Hiemann, MDd, Rudolf Meyer, MD, PhDd, Gert Baumann, MDa, Roland Hetzer, MD, PhDd

a Department of Cardiology and Angiology, Charité – Universitätsmedizin Berlin, Berlin, Germany
b Department of Radiology, Charité – Universitätsmedizin Berlin, Berlin, Germany
c Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut
d Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany

Accepted for publication October 12, 2008.

* Address correspondence to Dr Knebel, Charité - Universitätsmedizin Berlin, Charité Campus Mitte, Medical Clinic for Cardiology and Angiology, Charitéplatz 1, Berlin, 10098, Germany (Email: fabian.knebel{at}charite.de).

Bronchogenic cysts are congenital lesions that are a remnant from abnormal budding of the embryonic foregut. These cysts are usually single; most cases are either asymptomatic or present with respiratory symptoms. A 43-year-old woman presented with intermittent type II atrioventricular block during cholecystectomy. The cardiac evaluation including transthoracic and transesophageal echocardiography and magnetic resonance imaging revealed a cystic homogeneous mass within the interatrial septum. The patient underwent surgical resection of the mass and closure of the septal defect. Histopathology identified ciliated columnar epithelium, consistent with the diagnosis of a bronchogenic cyst.






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