title: Endobronchial ultrasound-guided needle aspiration of a bronchogenic cyst to liberate from mechanical ventilation: case report and literature review.
abstract: An 86-year-old man developed stridor and acute respiratory failure after being treated for a chronic obstructive pulmonary disease exacerbation and a urinary tract infection that required mechanical ventilation. A contrast computed tomography of the chest revealed a 4.2×5.7×7 cm homogeneous mass in the thoracic inlet, consistent with a bronchogenic cyst producing mass effect over the trachea. Patient was deemed a poor surgical candidate given significant comorbidities. We performed endobronchial ultrasound-guided transbronchial needle aspiration successfully to drain the bronchogenic cyst, allowing successful extubation within hours after the procedure.
authors.affiliation: Division of Pulmonary, Critical Care, and Sleep Medicine, Cincinnati Veterans Affairs Medical Center, University of Cincinnati, Cincinnati, OH 45267, USA. aragakao@ucmail.uc.edu
authors.forename: Alejandro A
authors.initials: AA
authors.lastname: Aragaki-Nakahodo
authors.forename: Julian
authors.initials: J
authors.lastname: Guitron-Roig
authors.forename: William
authors.initials: W
authors.lastname: Eschenbacher
authors.forename: Sadia
authors.initials: S
authors.lastname: Benzaquen
authors.forename: Corey
authors.initials: C
authors.lastname: Cudzilo
mesh_terms: D000369:Aged, 80 and over; D001980:Bronchi; D001994:Bronchogenic Cyst / Q000000981:diagnostic imaging / Q000473:pathology*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D006801:Humans; D008297:Male; D012121:Respiration, Artificial; D015300:Ventilator Weaning