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Surgery for Bronchogenic Cysts: Always Easy?

Thoracic Surgery Unit, Department of Cardiothoracic and Vascular Surgery, Siena University Hospital, Siena, Italy

Felice Granato, MD, Tel: +39 32 098 5926, Fax: +39 057 758 6140, Email: felicegranato{at}yahoo.it, Azienda Ospedaliera Universitaria Senese, Dipartimento di del Cuore dei Vasi e del Torace, Unità Operativa Complessa Chirurgia Toracica, viale Bracci 14, CAP 53100, Siena (SI), Italy.

ABSTRACT

A few cases of major complications after surgery for bronchogenic cyst have been reported. The purpose of this study was to analyze the complicated and unusual cases among 30 consecutive patients with bronchogenic cysts treated surgically at our institution between 1975 and 2007. There were 3 cases of mediastinal bronchogenic cyst characterized by significant surgical complications or very unusual pathological findings. The operations were performed through a thoracotomy in 25 patients, and by video-assisted thoracoscopic surgery in 5. Two patients suffered iatrogenic injury of the contralateral main bronchus during excision of a mediastinal cyst; in one of them, late development of foreign body granuloma was related to migration towards the bronchial wall of cyanoacrylate used to reinforce suturing of the bronchial tear. Histological examination of one resected specimen showed a large-cell anaplastic carcinoma arising from the wall of a mediastinal bronchogenic cyst. Bronchogenic cysts should be excised before they become symptomatic or infected, which leads to more difficult surgery and complications. The small risk of developing malignancy within a bronchogenic cyst also justifies early intervention.

Key Words: Bronchogenic Cyst • Foreign Bodies • Mediastinal Cyst • Mediastinal Emphysema • Thoracic Surgery • Video-Assisted

Asian Cardiovasc Thorac Ann 2009; 17:467-471
© 2009 by SAGE Publications
DOI: 10.1177/0218492309343855

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