Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Gen Thorac Cardiovasc Surg. 2022 Feb;70(2):197-200. doi: 10.1007/s11748-021-01729-8. Epub 2021 Nov 2.
Mediastinal bronchogenic cysts, regarded as congenital foregut abnormalities, are uncommon. These cysts can compress adjacent structures, causing obstructive symptoms and complications. A 57-year-old man was admitted to our hospital with complaints of tachycardia, dyspnea, and chest pain. Enhanced computed tomography revealed a 90 × 90 mm, well-defined subcarinal cystic mass causing significant compression and stenosis of the right main bronchus, right pulmonary artery, and right inferior pulmonary vein. The mass was successfully excised using one window and two-port video-assisted thoracoscopic surgery with partial resection and repair of pulmonary artery, and the postoperative course was good with no recurrence.
纵隔支气管源性囊肿被认为是先天性前肠异常，较为少见。这些囊肿可压迫邻近结构，导致阻塞症状和并发症。一名 57 岁男性因心动过速、呼吸困难和胸痛就诊于我院。增强 CT 显示一个 90×90mm、边界清楚的隆突下囊性肿块，导致右主支气管、右肺动脉和右下肺静脉严重受压和狭窄。该肿块成功地通过单窗口双端口电视辅助胸腔镜手术切除，部分切除和修复肺动脉，术后恢复良好，无复发。
