title: Video-assisted mediastinoscopic drainage of a bronchogenic cyst presenting with cardiac dysfunction.
abstract: Bronchogenic cysts originate from the anomalous development of the ventral foregut. The usual presentation of bronchogenic cyst in the mediastinum is related to cyst infection or tracheobronchial compression. We describe a case of bronchogenic cyst presenting with cardiac dysfunction and hemodynamic compromise in a 23-year-old man with chest pain and progressive dyspnea. A high body mass index and respiratory dysfunction increased the risk of open surgery. Therefore, video-assisted cervical mediastinoscopy was performed and de-roofing of the cyst achieved resolution of his cardiovascular dysfunction and symptoms.
authors.affiliation: Department of Thoracic Surgery, University Hospitals of Leicester, Glenfield Hospital, Leicester, United Kingdom.
authors.forename: Muhammad I
authors.initials: MI
authors.lastname: Aslam
authors.forename: Haitham
authors.initials: H
authors.lastname: Abunasra
authors.forename: Michael
authors.initials: M
authors.lastname: Klimatsidas
authors.forename: David A
authors.initials: DA
authors.lastname: Waller
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D001994:Bronchogenic Cyst / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008481:Mediastinoscopy / Q000379:methods*; D008482:Mediastinum / Q000601:surgery*; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*