Large Bronchogenic Cyst Research Articles

Case Report: Giant bronchogenic cyst compressing the pericardium and the lung hilum

Introduction: The bronchogenic cyst is a congenital anomaly of the trachea and the bronchi resulting in a malformation that develop in the bronchial tree, most often in the middle mediastinum. It is a benign pathology, often asymptomatic, however in the case of a large bronchogenic cyst, signs of compression of the intra-thoracic organs appear and early surgery is necessary to avoid complications. Case presentation: A 49-year-old patient was referred to our department with dry cough, dyspnea and chest tightness progressing for six months. Radiological exploration concluded that a giant bronchogenic cyst, 90 mm in diameter, was very probable. Surgery was performed via a right posterolateral thoracotomy. Intraoperatively, there was a large cystic formation 100mm*80 mm of the middle mediastinum in intimate contact with the origin of the right pulmonary artery, the lower right pulmonary vein as well as the right atrium exerting a compressive effect on the bronchi. The lesion was firmly adhered to the pericardium. The cystic was ‘en bloc’ resected in totality. The postoperative course was uncomplicated. Histological examination confirmed diagnosis of a bronchogenic cyst. The patient was asymptomatic throughout the follow-up period. Clinical discussion: Apart from the possibility of malignant degeneration, a bronchogenic cyst can increase in size and become huge causing serious complications. Despite the predictive diagnostic value of imaging, definitive diagnosis of a bronchogenic cyst is confirmed by surgical excision and pathological examination. Conclusions: Surgery is almost obligatory especially if the cyst is above a certain size (about 60 mm) and in the case of giant bronchogenic cysts.

Mini-invasive technologies in the treatment of a bronchogenic cyst in a 7-month old child

Introduction. Bronchogenic cysts is a rare congenital malformation of the tracheal tree that develops because of violated differentiation of the foregut on week 5–8 of embryogenesis. This disease is often complicated with respiratory failure due to trachea compression; heart failure may develop as well due to of heart and large main vessels compression. One of the most serious complications is erosion of the vessel wall and massive bleeding from main vessels.Clinical observation. A 7-month-old child with cough and stridor was admitted to the surgical thoracic department of National Medical Research Center for Children’s Health in Moscow. Examination revealed a bronchogenic cyst which caused compression stenosis of the trachea. The patient successfully survived thoracoscopy. This technology promoted adequate visualization of the formation and of the adjacent anatomical structures what allowed to isolate the formation in a precise manner. So, the cyst was completely removed without any pathological immature tissue left. In this particular case, there was a high risk of perforation of the trachea posterior wall at surgery and at early postoperative period. Such complication could require intraoperative conversion with circular resection of the trachea using high-frequency jet ventilation with Twin Stream apparatus, or the patient had to be transferred to extracorporeal membrane oxygenation so as to provide an adequate surgical intervention.Conclusion. In a multidisciplinary medical center, there has been performed a successful surgical treatment of a 7-month-old child with a large bronchogenic cyst that compressed the trachea using minimally invasive modern technologies.

Resuscitation on a Commercial Flight Due to a Large Bronchogenic Cyst.

Resuscitation on a Commercial Flight Due to a Large Bronchogenic Cyst.

Large Bronchogenic cyst Masquerading as Pericardial cyst and Causing Congenital lobar Emphysema

Bronchogenic cysts are rare congenital lesions of the bronchial tree which are mostly asymptomatic. Rarely when the size is large it can compress on the adjacent structures in the mediastinum. We report a rare case of 10 month old baby presented with recurrent lower respiratory tract infection, was suspected to have a pericardial cyst on echocardiography. On further imaging it was confirmed to be a large bronchogenic cyst from the carina compressing on the left atrium and the left bronchus causing congenital lobar emphysema of the left lung. In view of compression of the adjacent structures patient was sent for surgery. Though congenital bronchogenic cysts involving pericardium and intracardiac tissues have been reported but mediastinal bronchogenic cysts compressing on left bronchus causing congenital lobar emphysema have rarely been reported. Key words: Bronchogenic cyst, Congenital lobar emphysema.

Large bronchogenic cyst compressing the left atrium

Bronchogenic cysts are listed among the less common mediastinal tumours and either remain unnoticed and are randomly found or they are manifested with respiratory or thoracic symptoms such as chest pain, dyspnoea, haemoptysis and recurrent thoracic infections. More severe symptoms (e.g. sepsis, compression) are rare1,2. We present a case of a male patient with progressive dyspnoea on exertion attributed to a large bronchogenic cyst.

Bronchogenic cyst mimicking ischemic heart disease

Bronchogenic cysts are generally asymptomatic and are detected incidentally by radiographic imaging as a smooth homogeneous mediastinal/pulmonary lesion. We present a case of a large bronchogenic cyst in the posterior mediastinum mimicking ischemic heart disease in a 70-year-old man with unknown heart disease. In patients with chest pain the rare case of a bronchogenic cyst has to be considered for management of atypical angina pectoris.

進行する呼吸不全を呈した気管支原性嚢胞に対して胸腔鏡下手術を行った一例

進行する呼吸不全を呈した気管支原性嚢胞に対して胸腔鏡下手術を行った一例

Mediastinal bronchogenic cyst presenting with dysphagia and back pain

The presentation of the bronchogenic cyst is variable, making pre-operative diagnosis difficult. Majority of them are either asymptomatic or discovered incidentally. The most common presenting symptoms are cough, fever and dyspnea. We discuss the case of a large bronchogenic cyst in the posterior mediastinum causing oesophageal compression and impinging on the left atrium. The patient presented with dysphagia and back pain and was extensively investigated by various physicians before being diagnosed as having bronchogenic cyst. We concluded that the backache was due to stretching of nerves in the parietal pleura. This case demonstrates the need for detailed investigations prior to treatment of patients with such symptom complex as a bronchogenic cyst may be the cause of such symptoms.

Syncope and Facial Blushing Due to Giant Intrapulmonary Bronchogenic Cyst

A 43-year-old man presented with dizziness, head instability, and facial reddening, always in relation to body posture and without fever or systemic manifestations. Chest radiography revealed a large cavity with an air-fluid level in the right upper hemithorax. A right upper lobectomy was performed to remove a large bronchogenic cyst. The presentation with cardiac but no respiratory symptoms is uncommon but should be considered in the differential diagnosis of patients with intrathoracic cysts.

Massive bronchogenic cyst mimicking ischaemic chest pain

The presentation of the bronchogenic cyst is variable making preoperative diagnosis difficult. The majority are either asymptomatic or discovered incidentally. The most common presenting symptoms are cough, fever and dyspnoea. We discuss the case of a large bronchogenic cyst in the posterior mediastinum mimicking ischaemic cardiac pain in a patient with known heart disease. This case demonstrates the need for detailed investigations prior to the treatment of an assumed acute coronary syndrome as a bronchogenic cyst may be the rare cause of such symptoms.

Large Bronchogenic Cyst: Diagnosis and Surgical Management

Herein we describe a patient with an unusually large bronchogenic cyst. The removal of the cyst was performed through a mini-thoracotomy and facilitated by video-assisted thoracic surgery (VATS).

Bronchopulmonary foregut malformation: A large bronchogenic cyst communicating with an esophageal duplication cyst

A 1-year-old boy with a bronchopulmonary foregut malformation presented with a large mediastinal bronchogenic cyst associated with pulmonary sequestration, a cervical esophageal duplication cyst, a bronchial communication between these cysts, and 2 small bronchogenic cysts around the communication. These lesions were resected followed by an uneventful recovery. J Pediatr Surg 38:E2. Copyright 2003, Elsevier Science (USA). All rights reserved.

Laceration of the Left Pulmonary Artery during Removal of a Bronchogenic Cyst by Right Thoracotomy

Major vascular involvement by a bronchogenic cyst is rare; most large cysts cause respiratory symptoms. We present a case in which a large bronchogenic cyst was adherent to the left pulmonary artery. During removal of the cyst by right thoracotomy, the artery lacerated. Repair of the artery in such a situation taxes the surgeon's ingenuity and decision-making process.