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Ann Thorac Surg 2009;88:1010-1012. doi:10.1016/j.athoracsur.2009.01.049
© 2009 The Society of Thoracic Surgeons
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Muhammad I. Aslam
Haitham Abunasra
Michael Klimatsidas
David A. Waller
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Right arrow Trachea and bronchi

Case Reports

Video-Assisted Mediastinoscopic Drainage of a Bronchogenic Cyst Presenting With Cardiac Dysfunction

Muhammad I. Aslam, MRCS, Haitham Abunasra, FRCS, Michael Klimatsidas, MS, David A. Waller, FRCS(CTh)*

Department of Thoracic Surgery, University Hospitals of Leicester, Glenfield Hospital, Leicester, United Kingdom

Accepted for publication January 19, 2009.

* Address correspondence to Dr Waller, Thoracic Surgery Unit, Glenfield Hospital, Groby Rd, Leicester, LE3 9QP, United Kingdom (Email: david.waller{at}uhl-tr.nhs.uk).

Bronchogenic cysts originate from the anomalous development of the ventral foregut. The usual presentation of bronchogenic cyst in the mediastinum is related to cyst infection or tracheobronchial compression. We describe a case of bronchogenic cyst presenting with cardiac dysfunction and hemodynamic compromise in a 23-year-old man with chest pain and progressive dyspnea. A high body mass index and respiratory dysfunction increased the risk of open surgery. Therefore, video-assisted cervical mediastinoscopy was performed and de-roofing of the cyst achieved resolution of his cardiovascular dysfunction and symptoms.




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