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Eur J Cardiothorac Surg 2000;17:754-756
© 2000 Elsevier Science NL

Case report

Large thoracic duct cyst – a case report and review of the literature

^a Department of Thoracic and Cardiovascular Surgery, University Hospital of Bern, Bern, Switzerland
^b Department of Surgery, University Hospital of Lausanne, Lausanne, Switzerland
^c Institute of Pathology, University Hospital of Bern, Bern, Switzerland

Corresponding author. Tel.: +41-21-314-2408; fax: +41-21-314-2358
e-mail: thorsten.krueger{at}chuv.hospvd.ch

Large thoracic duct cysts are rare and standard lateral thoracotomy is usually used for resection. In the reported case the combination of an antero-lateral thoracotomy with a partial longitudinal median sternotomy (hemiclamshell approach) allowed an excellent visualization and dissection of a large thoracic duct cyst expanding in the anterior cervico-thoracic junction, and was associated with an uncomplicated recovery.

Key Words: Thoracic duct cyst • Trap door incision • Case report • Clamshell • Mediastinum

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