title: [Cardiac dysrhythmia and atypical angina symptoms caused by two bronchogenic cysts].
abstract: METHODS
  A 41-year-old male saw his general practitioner because of progressive atypical angina symptoms and palpitations for the last 7 years. Chest X-ray showed a mediastinal mass. Further investigation by computed tomography (CT), magnetic resonance imaging (MRI) and cardiac catheterization revealed two bronchogenic cysts. After median sternotomy and pericardial incision, two cystic masses were found on top of and dorsal to the right atrium. Following resection, the patient was free of previously experienced problems related to his atypical angina symptoms. Histological investigation showed no signs of malignancy.
  
  
  CONCLUSIONS
  In patients with atypical angina pectoris the rare case of a bronchogenic cyst has to be considered a possible reason for the symptoms. In addition, patients might show atrium-induced dysrhythmia, coughing with purulent sputum, and pain. CT and MRI are absolutely necessary for exclusion of metastases and aneurysms in the mediastinum.
authors.affiliation: Klinik für Herz- und thorakale Gefässchirurgie, Herzzentrum, Philipps-Universität Marburg.
authors.forename: Björn
authors.initials: B
authors.lastname: Kusch
authors.forename: Sebastian
authors.initials: S
authors.lastname: Vogt
authors.forename: Leszek
authors.initials: L
authors.lastname: Rybinski
authors.forename: Rainer
authors.initials: R
authors.lastname: Moosdorf
mesh_terms: D000328:Adult; D000788:Angina Pectoris, Variant / Q000209:etiology* / Q000601:surgery; D001994:Bronchogenic Cyst / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006325:Heart Atria / Q000601:surgery; D006331:Heart Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008476:Mediastinal Cyst / Q000175:diagnosis* / Q000601:surgery