An unusual cause of chest pain in a young man: bronchogenic cysts and their cardiac manifestations.
We report a case of a 24-year-old man who presented with chest pain and electrocardiographic evidence of myocardial ischaemia. An abnormal structure located behind the heart on the urgent transthoracic echocardiogram and a computed tomography scan of the mediastinum led to prompt surgery with eventual resection of the lesion. The histology revealed fragments of connective tissue covered by squamous epithelium and ciliated epithelium, consistent with a bronchogenic cyst. The case study is accompanied by a literature review of the pathogenesis, diagnosis and management of bronchogenic cysts and their association with cardiac symptoms.
Department of Medicine, Mater Dei Hospital, Tal-Qroqq, Msida MSD2090, Malta. lexmeli@yahoo.com
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A
Magro
J
J
Micallef
S
S
Falzon
M
M
Agius
W
W
Busuttil
S
S
Montefort
D000328:Adult; D001994:Bronchogenic Cyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002637:Chest Pain / Q000209:etiology*; D004562:Electrocardiography; D004630:Emergencies; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography