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Bronchogenic cyst invading right atrium in a 5-year-old

O S Göksel1, O A Sayin, T Cinar

  • 1Department of Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey. onurgokseljet@gmail.com

The Thoracic and Cardiovascular Surgeon
|September 24, 2008
PubMed

Insights

Primary cardiac bronchogenic cysts are rare. This case details a successful surgical resection of a large cyst extending to the right atrium in a child, highlighting surgical approaches for intrapericardial cysts.

Area of Science:

  • Cardiothoracic Surgery
  • Pediatric Surgery
  • Congenital Abnormalities

Background:

  • Primary bronchogenic cysts originating from or extending into the heart are exceptionally uncommon.
  • Intrapericardial cysts pose unique surgical challenges due to their proximity to vital cardiac structures.

Observation:

  • A 5-year-old female presented with a large (5.0 x 4.5 x 4.5 cm) bronchogenic cyst with cardiac extension.
  • The cyst involved the right atrial wall, necessitating complex surgical management.

Findings:

  • Surgical enucleation and resection of the bronchogenic cyst and invaded atrial wall were successfully performed via right posterolateral thoracotomy.
  • The procedure involved pericardial incision for access to the intrapericardial mass.

Implications:

  • Surgical resection of intrapericardial bronchogenic cysts is feasible.
  • Extensive cardiac invasion may require cardiopulmonary bypass and sternotomy for complete removal.

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