Massive bronchogenic cyst mimicking ischaemic chest pain

The presentation of the bronchogenic cyst is variable making preoperative diagnosis difficult. The majority are either asymptomatic or discovered incidentally. The most common presenting symptoms are cough, fever and dyspnoea. We discuss the case of a large bronchogenic cyst in the posterior mediast...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2008-12, Vol.34 (6), p.1260-1261
Main Authors: Efthymiou, Christopher Andrew, Kefaloyannis, Emmanuel Michael, Thorpe, James Andrew Charles
Format: Article
Language:English
Subjects:
Acute coronary syndrome
Biological and medical sciences
Bronchogenic cyst
Bronchogenic Cyst - complications
Bronchogenic Cyst - diagnostic imaging
Bronchogenic Cyst - surgery
Cardiology. Vascular system
Chest Pain - etiology
Coronary Disease - complications
Coronary heart disease
Diagnosis, Differential
Heart
Humans
Male
Medical sciences
Middle Aged
Myocarditis. Cardiomyopathies
Pneumology
Posterior mediastinum
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Tomography, X-Ray Computed
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Description
Summary:The presentation of the bronchogenic cyst is variable making preoperative diagnosis difficult. The majority are either asymptomatic or discovered incidentally. The most common presenting symptoms are cough, fever and dyspnoea. We discuss the case of a large bronchogenic cyst in the posterior mediastinum mimicking ischaemic cardiac pain in a patient with known heart disease. This case demonstrates the need for detailed investigations prior to the treatment of an assumed acute coronary syndrome as a bronchogenic cyst may be the rare cause of such symptoms.
ISSN:1010-7940
1873-734X
DOI:10.1016/j.ejcts.2008.09.021