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Updated: Jun 2, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
CT findings of an intracardiac bronchogenic cyst
Nieun Seo1, Joon-Won Kang, Chae-Hun Lim
1Department of Radiology and Research Institution of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 86 Asanbyeongwon-gil, Songpa-gu, Seoul 138-736, South Korea.
Insights
A rare cardiac mass in a 59-year-old woman was identified as a bronchogenic cyst. This congenital malformation, typically found in the lungs, was surgically removed from the interatrial septum.
Area of Science:
- Cardiology
- Thoracic Surgery
- Congenital Malformations
Background:
- Bronchogenic cysts are congenital malformations of the bronchopulmonary foregut.
- Intracardiac occurrence of bronchogenic cysts is exceptionally rare.
Observation:
- A 59-year-old woman presented with an incidentally detected cardiac mass during CT scan.
- Transthoracic echocardiography revealed a hypoechoic mass with internal echoes.
- ECG-gated cardiac CT showed a well-defined, hyperdense mass in the interatrial septum with poor enhancement.
Findings:
- The cardiac mass was surgically excised.
- Histopathological diagnosis confirmed the lesion as a bronchogenic cyst located within the interatrial septum.
Implications:
- This case highlights the importance of considering rare differential diagnoses for intracardiac masses.
- Surgical intervention is curative for intracardiac bronchogenic cysts.
- Understanding the imaging characteristics is crucial for accurate diagnosis.
Abstract:
Bronchogenic cysts are classified as congenital bronchopulmonary foregut malformations. It is very rare for bronchogenic cysts to occur within the heart. A 59-year-old woman had a cardiac mass which was detected incidentally during a CT examination. The lesion was a hypoechoic mass with internal echoes on transthoracic echocardiography, and a well-defined hyperdense mass within an interatrial septum with poor enhancement on electrocardiography (ECG)-gated cardiac CT. The lesion was diagnosed as a bronchogenic cyst in the interatrial septum after surgical excision.
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