Case Report: Bronchogenic Cyst in the Right Atrium of a Young Woman

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.

[1]  Xiaojun Yang,et al.  Bronchogenic cyst in the right atrium: A case report. , 2022, Asian journal of surgery.

[2]  R. Kim,et al.  Cardiovascular magnetic resonance imaging in suspected cardiac tumour: a multicentre outcomes study. , 2021, European heart journal.

[3]  S. Kelle,et al.  When tissue and outcomes are the issue. Cardiac magnetic resonance for patients with suspected cardiac tumours. , 2021, European heart journal.

[4]  Pooja Singh,et al.  Atypical chest pain in a young woman with an interatrial bronchogenic cyst , 2021, BMJ Case Reports.

[5]  G. Vaccarino,et al.  Bronchogenic cyst in an unusual location , 2020, Asian cardiovascular & thoracic annals.

[6]  Azka Latif,et al.  Cardiac tamponade as a complication of bronchogenic cyst , 2020, Proceedings.

[7]  Y. Fukada,et al.  Bronchogenic cyst of the interatrial septum , 2020, Fukushima journal of medical science.

[8]  Daokang Xiang,et al.  Resection of a Giant Bronchogenic Cyst in the Left Atrium. , 2020, The Canadian journal of cardiology.

[9]  A. Klein,et al.  Pericardial Cysts: a Contemporary Comprehensive Review , 2019, Current Cardiology Reports.

[10]  Zaw Lin,et al.  Acute shortness of breath due to reoccurrence of an intrapericardial bronchogenic cyst , 2019, Respirology case reports.

[11]  T. Benedek,et al.  Intracardiac bronchogenic cyst associated with ventricular septal defect: an extremely rare feature in children. , 2018, European heart journal cardiovascular Imaging.

[12]  S. Simonetti,et al.  Clinico-pathological features of the intradiaphragmatic bronchogenic cysts: report of a case and review of the literature. , 2018, Pathologica.

[13]  A. Unbehaun,et al.  Minimally Invasive Cardiac Surgery , 2018, Innovations.

[14]  H. Cho,et al.  A Life-Threatening Bronchogenic Cyst , 2018, The Korean journal of thoracic and cardiovascular surgery.

[15]  K. Hirao,et al.  Bronchogenic cyst of the atrioventricular septum presenting with ventricular fibrillation , 2017, HeartRhythm case reports.

[16]  Y. Hata,et al.  Intramyocardial bronchogenic cyst: histological appearance and a review of the literature. , 2017, Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology.

[17]  Y. Furukawa,et al.  A rare cardiac tumor: Bronchogenic cyst of interatrial septum , 2017, Echocardiography.

[18]  V. Alla,et al.  A 50-year-old man with incidental cardiac mass , 2016, Heart.

[19]  D. Pantile,et al.  Intrapericardial Development of a Bronchogenic Cyst - Case Report. , 2016, Chirurgia.

[20]  Heshui Shi,et al.  Left Ventricular Bronchogenic Cyst. , 2006, The Annals of thoracic surgery.

[21]  J. Forcillo,et al.  Intraventricular Bronchogenic Cyst: A Rare Congenital Anomaly. , 2015, The Annals of thoracic surgery.

[22]  T. Mitchell,et al.  Interatrial Bronchogenic Cyst Resection. , 2015, The Annals of thoracic surgery.

[23]  Huishan Wang,et al.  Bronchogenic cyst of the interatrial septum , 2013, Journal of Cardiothoracic Surgery.

[24]  H. Huwer,et al.  Infection of a bronchogenic cyst after ultrasonography-guided fine needle aspiration. , 2013, The Annals of thoracic surgery.

[25]  P. Mangin,et al.  One case, 3 rare simultaneous findings: intramyocardial bronchogenic cyst, P.H558R variant of SCN5A gene, and granular cell tumor of the esophagus. , 2012, The American journal of forensic medicine and pathology.

[26]  P. de Lagausie,et al.  Bronchogenic cyst: best time for surgery? , 2012, The Annals of thoracic surgery.

[27]  N. Abidin,et al.  Multimodality characterization of interatrial cyst. , 2012, Journal of the American College of Cardiology.

[28]  B. Kirmani,et al.  Should asymptomatic bronchogenic cysts in adults be treated conservatively or with surgery? , 2010, Interactive cardiovascular and thoracic surgery.

[29]  Shanqing Li,et al.  Clinical features and treatment of bronchogenic cyst in adults. , 2009, Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih.

[30]  W. Awad,et al.  A near fatal presentation of a bronchogenic cyst compressing the left main coronary artery. , 2008, The Journal of thoracic and cardiovascular surgery.

[31]  R. Kobza,et al.  An intrapericardial bronchogenic cyst. , 2003, Interactive cardiovascular and thoracic surgery.

[32]  C. Nair,et al.  Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. , 2003, American heart journal.

[33]  G. Watanabe,et al.  Surgical treatment of a bronchogenic cyst in the interatrial septum. , 2002, The Annals of thoracic surgery.

[34]  S. Yuda,et al.  Trends in the clinical and morphological characteristics of cardiac myxoma: 20-year experience of a single tertiary referral center in Japan. , 2002, Circulation journal : official journal of the Japanese Circulation Society.

[35]  M. Nery,et al.  Lipoma of the right atrium. , 2001, Arquivos brasileiros de cardiologia.

[36]  H. Kamiya,et al.  Surgical treatment of primary cardiac tumors: 28 years' experience in Kanazawa University Hospital. , 2001, Japanese circulation journal.

[37]  Y. Akiyama,et al.  Retroperitoneal bronchogenic cyst: Report of a case and literature review , 1999, Pathology international.

[38]  D. C. Henckel,et al.  Case report. , 1995, Journal.

[39]  T. McLoud,et al.  Surgical management and radiological characteristics of bronchogenic cysts. , 1993, The Annals of thoracic surgery.

[40]  J. Deslauriers,et al.  Clinical spectrum of bronchogenic cysts of the mediastinum and lung in the adult. , 1991, The Annals of thoracic surgery.

[41]  J. Seward,et al.  Primary cardiac tumors: experience with 30 consecutive patients since the introduction of two-dimensional echocardiography. , 1985, Journal of the American College of Cardiology.

[42]  J. Maintz,et al.  [The bronchogenic cyst]. , 1978, Medizinische Klinik.

[43]  Willard A. Burns,et al.  Report of a Case and Review of the Literature , 2017 .

[44]  H. C. Maier BRONCHIOGENIC CYSTS OF THE MEDIASTINUM , 1948, Annals of surgery.

[45]  H. Peck A rare congenital anomaly , 1924 .