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Giant bronchogenic cyst with pericardial defect: a case report & literature review in Japan
Toshiko Kamata1, Shigetoshi Yoshida1, Takekazu Iwata1
1Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
Insights
Congenital pericardial defects are rare anomalies. This case highlights a right-sided defect associated with a bronchogenic cyst, leading to post-surgery arrhythmia and prompting a review of surgical complications.
Area of Science:
- Cardiology
- Thoracic Surgery
- Medical Genetics
Background:
- Congenital pericardial defects are uncommon cardiac anomalies.
- These defects are often discovered incidentally during autopsies or cardiothoracic procedures.
Observation:
- A 69-year-old female presented with a right-sided congenital pericardial defect.
- The defect was incidentally found during surgery for a giant bronchogenic cyst.
Findings:
- Resection of the bronchogenic cyst resulted in post-operative arrhythmia.
- Literature review focused on congenital anomalies, pathogenesis, and surgical complications in patients with pericardial defects.
Implications:
- Understanding complications is crucial for managing patients with pericardial defects undergoing thoracic surgery.
- Indications for pericardial reconstruction require further investigation in this patient population.
Abstract:
Congenital pericardial defects are a rare anomaly, found during autopsy and cardiothoracic surgery. We describe a case of a 69-year-old female, with a right-sided congenital pericardial defect associated with a giant bronchogenic cyst (BC) found during surgery. The cyst was resected and the patient developed arrhythmia following surgery. A review of the literature in Japan was performed, focusing on congenital anomalies associated with pericardial defects and its pathogenesis. We paid particular attention to complications following thoracic surgery in patients with pericardial defects and indications of pericardial reconstruction in such patients.
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