Related Experiment Video
Updated: May 16, 2026
05:25
Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft
Published on: September 15, 2023
Bronchogenic cyst mimicking ischemic heart disease
Guido Michels1, Henning Bovenschulte, Uta Drebber
1Department of Internal Medicine III, University of Cologne, Cologne, Germany.
Lung India : Official Organ of Indian Chest Society
|December 18, 2012
Summary
A rare, large bronchogenic cyst in the posterior mediastinum mimicked heart disease in a 70-year-old man. This case highlights the importance of considering bronchogenic cysts in patients presenting with atypical chest pain.
Area of Science:
- Thoracic surgery
- Cardiology
- Radiology
Background:
- Bronchogenic cysts are typically asymptomatic mediastinal or pulmonary lesions found incidentally.
- They often present as smooth, homogeneous masses on radiographic imaging.
- Differential diagnosis for mediastinal masses can be challenging.
Purpose of the Study:
- To report a rare case of a large posterior mediastinal bronchogenic cyst.
- To illustrate how this cyst can mimic ischemic heart disease.
- To emphasize the need to consider bronchogenic cysts in patients with atypical angina.
Main Methods:
- Case report presentation.
- Review of clinical presentation, diagnostic imaging, and management.
- Discussion of differential diagnoses for posterior mediastinal masses.
Main Results:
- A 70-year-old male presented with chest pain suggestive of ischemic heart disease.
- Diagnostic workup revealed a large posterior mediastinal bronchogenic cyst.
- The cyst's presentation mimicked symptoms of atypical angina pectoris.
Conclusions:
- Large bronchogenic cysts, though rare, can present atypically.
- In patients with chest pain, especially atypical angina, bronchogenic cysts should be considered in the differential diagnosis.
- Accurate diagnosis is crucial for appropriate patient management and to avoid misattributing symptoms to cardiac causes.
Related Concept Videos
01:17Ischemic Heart Disease: Overview
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and narrowing...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and narrowing...
01:24Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
01:20Imaging Studies for Cardiovascular System III: X-Ray
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
01:29Angina III: Clinical Manifestations and Assessment
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:30Coronary Artery Disease III: Clinical Manifestations
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...