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Case Report: Bronchogenic Cyst in the Right Atrium of a Young Woman

Yuya Fukudome1, Michinari Hieda2, Shiho Masui2

  • 1Heart Center, Kyushu University Hospital, Fukuoka, Japan.

Frontiers in Cardiovascular Medicine
|June 17, 2022
PubMed

Insights

A rare cardiac cyst, identified as a bronchogenic cyst, was surgically removed from a patient's right atrium. Direct removal is crucial for indeterminate cardiac masses to avoid complications.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Developmental Biology

Background:

  • Bronchogenic cysts are rare congenital abnormalities originating from the primitive foregut.
  • These cysts typically form in the mediastinum but can exceptionally occur within the heart.
  • Cardiac masses present diagnostic and therapeutic challenges, particularly rare cystic lesions.

Observation:

  • A 31-year-old woman presented with a cystic mass in the right atrium.
  • Cardiac MRI revealed a fluid-filled cystic mass.
  • Surgical excision was performed for definitive diagnosis and treatment.

Findings:

  • Pathological examination confirmed the cardiac mass as an extremely rare bronchogenic cyst.
  • The cyst's anatomical location in the right atrium was noted.
  • Bronchogenic cysts are benign but require careful management due to potential complications.

Implications:

  • This case highlights the importance of considering rare diagnoses for cardiac masses.
  • Direct surgical removal of indeterminate cardiac cysts is recommended over biopsy.
  • Understanding the embryological origin aids in diagnosing and managing these unusual congenital anomalies.

Keywords:
bronchogenic cystcardiac MRIcardiac biopsycardiac massimaging

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