Abstract
We report the case of a 28-years-old male with a bronchogenic cyst developed in the aorto-pulmonary window. Left video-assisted thoracoscopy was performed and the cyst was removed intact and completely. Operative time was 48 minutes. The postoperative course was uneventful and the patient was discharged on the third postoperative day. We believe that an uncomplicated mediastinal bronchogenic cyst can be successfully approached by video-assisted thoracoscopy. In the case of an intraparenchymal or complicated cyst, thoracoscopic resection can be technically difficult and hazardous, and open approach is preferable.
Highlights
Bronchogenic cysts, account for 10 to 15% of all mediastinal tumors and about 60% of mediastinal cysts 1,2]
Chest X-ray showed an enlargement of the left mediastinal shadow and computed thomography of the chest confirmed the presence of a 3-cm lesion, with fluid density, developed in the aorto-pulmonary window closely associated with 2 enlarged lymph nodes (Fig. 1)
A 11-mm trocar was inserted through the VII intercostal space along the midaxillary line
Summary
Bronchogenic cysts, account for 10 to 15% of all mediastinal tumors and about 60% of mediastinal cysts 1,2]. These lesions are commonly located posterior to the carina, but can be found within lung parenchyma in connection with bronchi, in the pulmonary hilum or closely associated with the esophagus. Bronchogenic cysts are usually single but may be multilocular or multiple. The wall of the cyst is composed of fibroelastic tissue and cartilage; the lining generally consists of pseudostratified epithelium. Bronchogenic cysts are seldom seen in the adult and most are initially asymptomatic. Surgical resection is indicated because the majority of the cysts will become symptomatic or complicated. We report the case of thoracoscopic resection of uncomplicated cysts developed in the aortopulmonary window
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