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A rare intrapericardial mass in a neonate
A H Hayashi1, D R McLean, A Peliowski
1Department of Surgery, Royal Alexandra Hospital, Edmonton, Alberta, Canada.
Journal of Pediatric Surgery
|October 1, 1992
Summary
This study reports a rare case of a neonate with an intrapericardial mass, a combination of extralobar pulmonary sequestration and a bronchogenic cyst. Surgical resection was successful, with an uneventful recovery for the infant.
Area of Science:
- Pediatric Surgery
- Cardiothoracic Surgery
- Neonatal Medicine
Background:
- Congenital anomalies of the mediastinum can present diagnostic challenges in neonates.
- Intrapericardial masses are exceptionally rare, requiring prompt diagnosis and management.
- Extralobar pulmonary sequestration and bronchogenic cysts are distinct congenital abnormalities.
Observation:
- A full-term neonate presented with respiratory distress (grunting and indrawing) post-delivery.
- Imaging revealed an anterior mediastinal cystic lesion causing superior vena cava displacement.
- Bronchoscopy and esophagoscopy did not identify structural abnormalities.
Findings:
- A rare intrapericardial mass was surgically resected in a neonate.
- The mass comprised extralobar pulmonary sequestration and a mucus-filled bronchogenic cyst.
- The lesion received systemic blood supply and was not connected to the heart or great vessels.
Implications:
- This case highlights the importance of considering rare combined congenital anomalies in neonatal respiratory distress.
- Surgical intervention via sternotomy is a viable treatment for such intrapericardial masses.
- Complete resection led to an uneventful postoperative recovery, suggesting a favorable prognosis with timely management.