Fukudome Yuya, Hieda Michinari, Masui Shiho, Yokoyama Taku, Futami Shutaro, Moriyama Shohei, Irie Kei, Fukata Mitsuhiro, Ushijima Tomoki, Shiose Akira, Akashi Koichi
Heart Center, Kyushu University Hospital, Fukuoka, Japan.
Department of Medicine and Bio-systemic Science, Hematology, Oncology, and Cardiovascular Medicine, School of Medicine, Kyushu University Hospital, Fukuoka, Japan.
Front Cardiovasc Med. 2022 May 27;9:915876. doi: 10.3389/fcvm.2022.915876. eCollection 2022.
A 31-year-old woman was referred to our hospital for evaluation of a cardiac mass in the right atrium. Cardiac magnetic resonance imaging indicated a cystic mass filled with fluid accumulation in the right atrium. The mass was identified as a cardiac cyst and was surgically removed. Pathological examination revealed an extremely rare bronchogenic cyst. Bronchogenic cysts are benign congenital abnormalities of primitive foregut origins that form in the mediastinum during embryonic development. There is unusual clinical dilemmas surrounding the treatment plan for cardiac surgery or biopsy of cardiac masses, especially in patients with rare cardiac cysts. The anatomical location of the cyst can be related to various clinical symptoms and complications. In cases of indeterminate cardiac cysts, direct cyst removal without prior biopsy is of utmost importance.
一名31岁女性因右心房心脏肿物前来我院评估。心脏磁共振成像显示右心房有一个充满液体聚集的囊性肿物。该肿物被确定为心脏囊肿并接受了手术切除。病理检查显示为极为罕见的支气管源性囊肿。支气管源性囊肿是源于原始前肠的良性先天性异常,在胚胎发育期间形成于纵隔。围绕心脏手术或心脏肿物活检的治疗方案存在特殊的临床困境,尤其是在患有罕见心脏囊肿的患者中。囊肿的解剖位置可能与各种临床症状和并发症相关。在心脏囊肿情况不明时,直接切除囊肿而不进行术前活检至关重要。