Early atrial septal defect surgery due to a bronchogenic cyst causing congestive heart failure by left atrium compression.
We report on an uncommon case of a 10-month-old patient who required early surgical closure of an ostium secumdum atrial septal defect due to the concomitant presence of a big subcarinal bronchogenic cyst compressing the left atrium and, therefore, increasing the left-to-right shunt. It led to refractory congestive heart failure symptoms, establishing thereby an earlier indication of surgical treatment.
Mosquera
Victor X
VX
Department of Cardiothoracic Surgery K6-S, Leiden University Medical Center, Albinusdreef 2, 2333 2A, Leiden, The Netherlands. vxmr@yahoo.es
Rijlaarsdam
Marry
M
Filippini
Luc
L
Hazekamp
Mark G
MG
D001994:Bronchogenic Cyst / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D006325:Heart Atria / Q000601:surgery; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D008476:Mediastinal Cyst / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013249:Sternum / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed