Skip to main content
Top
Published in: Journal of Cardiothoracic Surgery 1/2010

Open Access 01-12-2010 | Case report

Thoracoscopic resection of a paraaortic bronchogenic cyst

Authors: Baldassare Mondello, Salvatore Lentini, Dario Familiari, Pietro Barresi, Francesco Monaco, Michele Sibilio, Annunziata La Rocca, Vincenzo Micali, Ignazio Eduardo Acri, Mario Barone, Maurizio Monaco

Published in: Journal of Cardiothoracic Surgery | Issue 1/2010

Login to get access

Abstract

Bronchogenic mediastinal cysts (BMC) represent 18% of primitive mediastinal tumors and the most frequent cystic lesions in this area. Nowadays, BMC are usually treated by VATS. However, the presence of major adhesions to vital structures is often considered as an unfavourable condition for thoracoscopic treatment. The authors report the thoracoscopic treatment of a BMC having dense adhesions to the aortic arch. Diagnosis and surgical treatment is described. Review of the literature and surgical options on this topic are discussed.
Appendix
Available only for authorised users
Literature
1.
go back to reference Wychulis AR, Payne WS, Clagett OT, Woolner LB: Surgical treatment of mediastinal tumors. A 40 year experience. J Thorac Cardiovasc Surg. 1971, 62: 379-92.PubMed Wychulis AR, Payne WS, Clagett OT, Woolner LB: Surgical treatment of mediastinal tumors. A 40 year experience. J Thorac Cardiovasc Surg. 1971, 62: 379-92.PubMed
2.
go back to reference Bolton JW, Shahian DM: Asymptomatic bronchogenic cysts: what is the best treatment?. Ann Thorac Surg. 1992, 53: 1134-7. 10.1016/0003-4975(92)90412-W.CrossRefPubMed Bolton JW, Shahian DM: Asymptomatic bronchogenic cysts: what is the best treatment?. Ann Thorac Surg. 1992, 53: 1134-7. 10.1016/0003-4975(92)90412-W.CrossRefPubMed
3.
go back to reference Takeda S, Miyoshi S, Minami M, Ohta M, Masaoka A, Matsuda H: Clinical spectrum of mediastinal cysts. Chest. 2003, 124: 125-32. 10.1378/chest.124.1.125.CrossRefPubMed Takeda S, Miyoshi S, Minami M, Ohta M, Masaoka A, Matsuda H: Clinical spectrum of mediastinal cysts. Chest. 2003, 124: 125-32. 10.1378/chest.124.1.125.CrossRefPubMed
4.
go back to reference O'Rahilly R, Müller F: Respiratory and alimentary relations in staged human embryos. New embryological data and congenital anomalies. Ann Otol Rhinol Laryngol. 1984, 93: 421-9.CrossRefPubMed O'Rahilly R, Müller F: Respiratory and alimentary relations in staged human embryos. New embryological data and congenital anomalies. Ann Otol Rhinol Laryngol. 1984, 93: 421-9.CrossRefPubMed
5.
go back to reference St-Georges R, Deslauriers J, Duranceau A, Vaillancourt R, Deschamps C, Beauchamp G, Pagé A, Brisson J: Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult. Ann Thorac Surg. 1991, 52: 6-13. 10.1016/0003-4975(91)91409-O.CrossRefPubMed St-Georges R, Deslauriers J, Duranceau A, Vaillancourt R, Deschamps C, Beauchamp G, Pagé A, Brisson J: Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult. Ann Thorac Surg. 1991, 52: 6-13. 10.1016/0003-4975(91)91409-O.CrossRefPubMed
6.
go back to reference McAdams HP, Kirejczyk , Rosado de Christenson ML, Matsumoto S: Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology. 2000, 56: 441-6.CrossRef McAdams HP, Kirejczyk , Rosado de Christenson ML, Matsumoto S: Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology. 2000, 56: 441-6.CrossRef
7.
go back to reference Patel SR, Meeker DP, Biscotti CV, Kirby TJ, Rice TW: Presentation and management of bronchogenic cysts in the adult. Chest. 1994, 106: 79-85. 10.1378/chest.106.1.79.CrossRefPubMed Patel SR, Meeker DP, Biscotti CV, Kirby TJ, Rice TW: Presentation and management of bronchogenic cysts in the adult. Chest. 1994, 106: 79-85. 10.1378/chest.106.1.79.CrossRefPubMed
8.
go back to reference Kanemitsu Y, Nakayama H, Asamura H, Kondo H, Tsuchiya R, Naruke T: Clinical features and management of bronchogenic cysts: report of 17 cases. Surg Today. 1999, 29: 1201-5. 10.1007/BF02482273.CrossRefPubMed Kanemitsu Y, Nakayama H, Asamura H, Kondo H, Tsuchiya R, Naruke T: Clinical features and management of bronchogenic cysts: report of 17 cases. Surg Today. 1999, 29: 1201-5. 10.1007/BF02482273.CrossRefPubMed
9.
go back to reference Ribet ME, Copin MC, Gosselin B: Bronchogenic cysts of the mediastinum. J Thorac Cardiovasc Surg. 1995, 109: 1003-10. 10.1016/S0022-5223(95)70327-6.CrossRefPubMed Ribet ME, Copin MC, Gosselin B: Bronchogenic cysts of the mediastinum. J Thorac Cardiovasc Surg. 1995, 109: 1003-10. 10.1016/S0022-5223(95)70327-6.CrossRefPubMed
10.
go back to reference Aktogu S, Yuncu G, Halilcolar H, Ermete S, Budunelli T: Bronchogenic cysts: clinicopathological presentation and treatment. Eur Respir J. 1996, 9: 2017-21. 10.1183/09031936.96.09102017.CrossRefPubMed Aktogu S, Yuncu G, Halilcolar H, Ermete S, Budunelli T: Bronchogenic cysts: clinicopathological presentation and treatment. Eur Respir J. 1996, 9: 2017-21. 10.1183/09031936.96.09102017.CrossRefPubMed
11.
go back to reference Miralles Lozano F, Gonzalez-Maritez B, Luna More S, Valencia Rodriguez A: Carcinoma arising in a calcified bronchogenic cyst. Respiration. 1981, 42: 135-7.PubMed Miralles Lozano F, Gonzalez-Maritez B, Luna More S, Valencia Rodriguez A: Carcinoma arising in a calcified bronchogenic cyst. Respiration. 1981, 42: 135-7.PubMed
12.
go back to reference Endo C, Imai T, Nakagawa H, Ebina A, Kaimori M: Bronchioloalveolar carcinoma arising in bronchogenic cyst. Ann Thorac Surg. 2000, 69: 933-5. 10.1016/S0003-4975(99)01402-2.CrossRefPubMed Endo C, Imai T, Nakagawa H, Ebina A, Kaimori M: Bronchioloalveolar carcinoma arising in bronchogenic cyst. Ann Thorac Surg. 2000, 69: 933-5. 10.1016/S0003-4975(99)01402-2.CrossRefPubMed
13.
go back to reference De Perrot M, Pache JC, Spilipoulos A: Carcinoma arising in congenital lung cyst. Thorac Cardiovasc Surg. 2001, 49: 184-5. 10.1055/s-2001-14284.CrossRefPubMed De Perrot M, Pache JC, Spilipoulos A: Carcinoma arising in congenital lung cyst. Thorac Cardiovasc Surg. 2001, 49: 184-5. 10.1055/s-2001-14284.CrossRefPubMed
14.
go back to reference Martinoid E, Pons F, Azorin J, Mouroux J, Dahan M, Faillon JM, Dujon A, Lajos PS, Riquet M, Jancovici R: Thoracoscopi excision of mediastinal bronchogenic cysts: results in 20 cases. Ann Thorac Surg. 2000, 69: 1525-8. 10.1016/S0003-4975(99)01438-1.CrossRef Martinoid E, Pons F, Azorin J, Mouroux J, Dahan M, Faillon JM, Dujon A, Lajos PS, Riquet M, Jancovici R: Thoracoscopi excision of mediastinal bronchogenic cysts: results in 20 cases. Ann Thorac Surg. 2000, 69: 1525-8. 10.1016/S0003-4975(99)01438-1.CrossRef
15.
go back to reference Mouroux J, Bourgeon A, Benchimol D, Bernard JL, Chazai M, Padovani B, Richelme H: Bronchogenic cysts of the esophagus. Classic surgery or videosurgery?. Chirurgie. 1991, 117: 564-8.PubMed Mouroux J, Bourgeon A, Benchimol D, Bernard JL, Chazai M, Padovani B, Richelme H: Bronchogenic cysts of the esophagus. Classic surgery or videosurgery?. Chirurgie. 1991, 117: 564-8.PubMed
16.
go back to reference Weber T, Roth CT, Bshay M, Herrmann P, Stein R, Schmid RA: Videoassisted thoracoscopic surgery of mediastinal bronchogenic cysts in adults: a single-center experience. Ann Thorac Surg. 2004, 78: 987-91. 10.1016/j.athoracsur.2004.03.092.CrossRefPubMed Weber T, Roth CT, Bshay M, Herrmann P, Stein R, Schmid RA: Videoassisted thoracoscopic surgery of mediastinal bronchogenic cysts in adults: a single-center experience. Ann Thorac Surg. 2004, 78: 987-91. 10.1016/j.athoracsur.2004.03.092.CrossRefPubMed
17.
go back to reference Tölg C, Abelin K, Laudenbach V, de Heaulme O, Dorgeret S, Lipsyc ES, Aigrain Y, de Lagausie P: Open vs Thoracoscopic surgical management of bronchogenic cysts. Surg Endosc. 2005, 19: 77-80. 10.1007/s00464-003-9328-x.CrossRefPubMed Tölg C, Abelin K, Laudenbach V, de Heaulme O, Dorgeret S, Lipsyc ES, Aigrain Y, de Lagausie P: Open vs Thoracoscopic surgical management of bronchogenic cysts. Surg Endosc. 2005, 19: 77-80. 10.1007/s00464-003-9328-x.CrossRefPubMed
18.
go back to reference Hazelrigg SR, Landreneau RJ, Mack MJ, Acuff TE: Thoracoscopic resection of mediastinal cysts. Ann Thorac Surg. 1993, 56: 659-60. 10.1016/0003-4975(93)90944-D.CrossRefPubMed Hazelrigg SR, Landreneau RJ, Mack MJ, Acuff TE: Thoracoscopic resection of mediastinal cysts. Ann Thorac Surg. 1993, 56: 659-60. 10.1016/0003-4975(93)90944-D.CrossRefPubMed
19.
go back to reference Lewis RJ, Caccavale RJ, Sisler GE: Imaged thoracoscopic surgery: a new thoracic technique for resection of mediastinal cysts. Ann Thorac Surg. 1992, 53: 318-20. 10.1016/0003-4975(92)91340-F.CrossRefPubMed Lewis RJ, Caccavale RJ, Sisler GE: Imaged thoracoscopic surgery: a new thoracic technique for resection of mediastinal cysts. Ann Thorac Surg. 1992, 53: 318-20. 10.1016/0003-4975(92)91340-F.CrossRefPubMed
20.
go back to reference Read CA, Moront M, Carangelo R, Holt RW, Richardson M: Recurrent bronchogenic cysts. An argument for complete surgical excision. Arch Surg. 1991, 126: 1306-8.CrossRefPubMed Read CA, Moront M, Carangelo R, Holt RW, Richardson M: Recurrent bronchogenic cysts. An argument for complete surgical excision. Arch Surg. 1991, 126: 1306-8.CrossRefPubMed
21.
go back to reference De Giacomo T, Diso D, Anile M, Venuta F, Rolla M, Ricella C, Coloni GF: Thoracoscopic resection of mediastinal bronchogenic cysts in adults. Eur J Cardioth Surg. 2009, 36: 357-59. 10.1016/j.ejcts.2009.03.041.CrossRef De Giacomo T, Diso D, Anile M, Venuta F, Rolla M, Ricella C, Coloni GF: Thoracoscopic resection of mediastinal bronchogenic cysts in adults. Eur J Cardioth Surg. 2009, 36: 357-59. 10.1016/j.ejcts.2009.03.041.CrossRef
22.
go back to reference Van Dam J, Rice TW, Sivak MV: Endoscopic ultrasonography and endoscopically giuded needle aspiration for the diagnosis of upper gastrointestinal tract foregut cysts. Am J Gastroeneterol. 1992, 87: 762-5. Van Dam J, Rice TW, Sivak MV: Endoscopic ultrasonography and endoscopically giuded needle aspiration for the diagnosis of upper gastrointestinal tract foregut cysts. Am J Gastroeneterol. 1992, 87: 762-5.
23.
go back to reference McDougall JC, Fromme GA: Transcarinal aspiration of a mediastinal cyst to facilitate anesthetic management. Chest. 1990, 97 (6): 1490-2. 10.1378/chest.97.6.1490.CrossRefPubMed McDougall JC, Fromme GA: Transcarinal aspiration of a mediastinal cyst to facilitate anesthetic management. Chest. 1990, 97 (6): 1490-2. 10.1378/chest.97.6.1490.CrossRefPubMed
24.
go back to reference Kuhlman JE, Fishman EK, Wang KP, Zerhouni EA, Siegelman SS: Mediastinal cyst: diagnosis by CT and needle aspiration. AJR Am J Roentgenol. 1988, 150 (1): 75-8.CrossRefPubMed Kuhlman JE, Fishman EK, Wang KP, Zerhouni EA, Siegelman SS: Mediastinal cyst: diagnosis by CT and needle aspiration. AJR Am J Roentgenol. 1988, 150 (1): 75-8.CrossRefPubMed
25.
go back to reference Galluccio G, Lucantoni G: Mediastinal bronchogenic cyst's recurrence treated with EBUS-FNA with a long-term follow-up. Eur J Cardiothorac Surg. 2006, 29: 627-9. 10.1016/j.ejcts.2005.12.052.CrossRefPubMed Galluccio G, Lucantoni G: Mediastinal bronchogenic cyst's recurrence treated with EBUS-FNA with a long-term follow-up. Eur J Cardiothorac Surg. 2006, 29: 627-9. 10.1016/j.ejcts.2005.12.052.CrossRefPubMed
Metadata
Title
Thoracoscopic resection of a paraaortic bronchogenic cyst
Authors
Baldassare Mondello
Salvatore Lentini
Dario Familiari
Pietro Barresi
Francesco Monaco
Michele Sibilio
Annunziata La Rocca
Vincenzo Micali
Ignazio Eduardo Acri
Mario Barone
Maurizio Monaco
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2010
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-5-82

Other articles of this Issue 1/2010

Journal of Cardiothoracic Surgery 1/2010 Go to the issue