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.

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