Cardiac bronchogenic cysts are rare lesions with very thin walls. We present a case of a 49-year-old man with intermittent chest pain and distress who was found to have a bronchogenic cyst in the right ventricle with complex tissue changes. The clinical manifestations, image findings, and differential diagnoses of bronchogenic cysts are discussed.
BACKGROUND
Mediastinal bronchogenic cysts and pericardial defects are both rare. It is extremely rare that both occur simultaneously. To the best of our knowledge, this is the first case of a coexistent bronchogenic cyst and pericardial defect reported in China. We performed a literature review and found a relationship between bronchogenic cysts and pericardial defects, which further revealed the correlation between the bronchus and pericardium during embryonic development.
CASE SUMMARY
A 14-year-old boy attended a local hospital for ankylosing spondylitis. Chest radiography showed an enhanced circular-density shadow near the left mediastinum. The patient had no chest symptoms and the physical examination was normal. Because of the mediastinal occupation, the patient visited our department of chest surgery for further treatment. During surgery, a left pericardial defect was observed. The bronchogenic cyst was removed by thoracoscopic surgery, but the pericardial defect remained untreated, and a satisfactory outcome was achieved after the operation. The patient was diagnosed with a mediastinal tumor. The pathological diagnosis of the tumor was a bronchogenic cyst.
CONCLUSION
This case further reveals the correlation between the bronchus and pericardium during embryonic development.
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