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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
Summary
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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