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Resection of a Giant Bronchogenic Cyst in the Left Atrium
Zhongkui Li1, Daokang Xiang1, Lufang Gao1
1Department of Cardiac Surgery, The People's Hospital of Guizhou Province, Guiyang, P.R. China.
Insights
A rare bronchogenic cyst in the left atrium was found in a teenage male presenting with chest pain. Surgical removal and pericardial patch reconstruction were successful, confirming a benign cyst.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pathology
Background:
- Bronchogenic cysts are congenital anomalies typically found in the mediastinum.
- Intracardiac bronchogenic cysts, particularly in the left atrium, are exceedingly rare.
Observation:
- A 17-year-old male presented with severe chest pain and dyspnea.
- Diagnostic imaging, including echocardiography and computed tomography, revealed a large tumor in the left atrium's dome.
Findings:
- Surgical enucleation of the cardiac tumor was performed.
- Pathological examination confirmed the tumor to be a benign bronchogenic cyst.
- The resulting atrial defect was successfully reconstructed using a bovine pericardial patch.
Implications:
- This case highlights the importance of considering rare diagnoses in cardiac masses.
- Successful surgical management demonstrates the feasibility of treating left atrial bronchogenic cysts.
- This report contributes to the limited literature on intracardiac bronchogenic cysts.
Abstract:
A bronchogenic cyst in the left atrium is rare. We report the case of a 17-year-old male patient who was admitted to the emergency department because of severe chest pain and dyspnea. He was diagnosed using echocardiography and computed tomography, which revealed a huge cardiac tumour in the dome of the left atrium. He was surgically treated with tumour enucleation. The resultant atrial dome defect was reconstructed with a bovine pericardial patch. Pathologic investigation revealed that the tumour was a bronchogenic benign cyst.
