title: Mediastinal Bronchogenic Cyst With Acute Cardiac Dysfunction: Two-Stage Surgical Approach.
abstract: We describe a two-stage surgical approach in a patient with cardiac dysfunction and hemodynamic compromise resulting from a massive and compressive mediastinal bronchogenic cyst. To drain this cyst, video-assisted mediastinoscopy was performed as an emergency procedure, which immediately improved the patient's cardiac function. Five days later and under video thoracoscopy, resection of the cyst margins was impossible because the cyst was tightly adherent to the left atrium. We performed deroofing of this cyst through a right thoracotomy. The patient had an uncomplicated postoperative recovery, and no recurrence was observed at the long-term follow-up visit.
authors.affiliation: Department of Cardiothoracic Surgery, Charles Nicolle University Hospital, Rouen, France. Electronic address: hassibasmail@yahoo.fr.
authors.forename: Hassiba
authors.initials: H
authors.lastname: Smail
authors.affiliation: Department of General and Thoracic Surgery, Charles Nicolle University Hospital, Rouen, France.
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Baste
authors.affiliation: Department of General and Thoracic Surgery, Charles Nicolle University Hospital, Rouen, France.
authors.forename: Jean
authors.initials: J
authors.lastname: Melki
authors.affiliation: Department of General and Thoracic Surgery, Charles Nicolle University Hospital, Rouen, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Peillon
mesh_terms: D000368:Aged; D001994:Bronchogenic Cyst / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D008481:Mediastinoscopy / Q000379:methods*; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed