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Intrapericardial bronchogenic cysts.

M N Gomes, C A Hufnagel

    The American Journal of Cardiology
    |November 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    A rare large intrapericardial bronchogenic cyst causing superior vena cava obstruction was successfully treated with surgical removal and vessel reconstruction. This case highlights characteristic diagnostic features, including imaging and early pericarditis, for similar rare thoracic lesions.

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    Area of Science:

    • Cardiology
    • Thoracic Surgery
    • Medical Imaging

    Background:

    • Intrapericardial bronchogenic cysts are rare congenital anomalies.
    • These cysts can cause significant thoracic complications, including superior vena cava (SVC) obstruction.

    Observation:

    • A case of a large intrapericardial bronchogenic cyst presenting with SVC obstruction due to pressure fibrosis and thrombosis is detailed.
    • A second case involved a similar cyst without SVC obstruction.
    • Diagnostic features, including characteristic angiographic data and early pericarditis, are discussed.

    Findings:

    • Successful surgical excision of the cyst and satisfactory reconstruction of the SVC, maintaining its patency, were achieved in the obstructed case.
    • The second case was also successfully treated with surgery.

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  • Comparison with 20 previously reported cases provides further insights.

    • Implications:

    • Early recognition of characteristic angiographic findings and clinical signs like pericarditis can aid in diagnosing these rare cysts.
    • Surgical intervention is effective for both symptomatic and asymptomatic intrapericardial bronchogenic cysts.
    • Successful management of SVC obstruction secondary to these cysts is achievable through surgical reconstruction.