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[Mediastinal bronchogenic cyst causing severe tracheal stenosis]
1Department of Thoracic Surgery, Yokohama City Minato Red Cross Hospital, Yokohama, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 7, 2013
Summary
An elderly patient with a large mediastinal mass causing tracheal stenosis underwent minimally invasive surgery. Partial cyst resection provided rapid symptom relief and a favorable long-term outcome.
Area of Science:
- Thoracic Surgery
- Pulmonology
- Medical Imaging
Background:
- Mediastinal masses can cause significant respiratory compromise.
- Bronchogenic cysts are congenital anomalies that may present in the mediastinum.
- Tracheal stenosis due to extrinsic compression requires prompt management.
Observation:
- An 86-year-old female presented with progressive dyspnea.
- Computed tomography identified a 7-cm upper mediastinal mass compressing the trachea.
- The mass was diagnosed as a paratracheal bronchogenic cyst causing severe tracheal stenosis.
Findings:
- A semiemergent, minimally invasive partial cyst resection (fenestration) was performed.
- The patient was extubated immediately postoperatively and became asymptomatic.
- Histological examination confirmed the diagnosis of a bronchogenic cyst.
Implications:
- Minimally invasive surgery can be effective for managing symptomatic mediastinal bronchogenic cysts in elderly patients.
- Prompt surgical intervention can rapidly alleviate respiratory distress caused by tracheal compression.
- Partial resection and fenestration may be a viable alternative to complete resection in select cases.
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