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The Journal of Cardiovascular Surgery 2000 October;41(5):785-6

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Recurrent bronchogenic cyst in a Jehovah’s witness

Chamberlain M. H., Wells F. C.

From the Department of Cardiothoracic Surgery Papworth Hospital, Cambridgeshire, England

A 26-­year-old ­female prac­tising ­Jehovah’s wit­ness pre­sented ­with a his­tory of recur­rent res­pir­a­tory infec­tions ­since child­hood and ­more ­recently, recur­rent car­diac dys­rhyth­mias. A ­large bron­cho­genic ­cyst ­arising ­beneath the ­carina and com­pressing the ­bronchi was ­felt to be respon­sible. The ­cyst was ­adherent to the ­roof of the ­left ­atrium. She ­initially under­went a par­tial exci­sion ­through the stan­dard ­approach of ­left thor­a­cotomy. Com­plete resec­tion via ­this ­route was haz­ardous ­with ­real ­danger of lac­er­a­tion of the ­atrial ­wall. ­Repeat sur­gery was per­formed on car­di­o­pul­mo­nary ­bypass 3 ­years ­later for recur­rence of symp­toms. Com­plete exci­sion was ­achieved.