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Eur J Cardiothorac Surg 2006;29:627-629
© 2006 Elsevier Science NL

Case report

Mediastinal bronchogenic cyst's recurrence treated with EBUS-FNA with a long-term follow-up

^a Center of Thoracic Endoscopy, Forlanini Hospital, Rome, Italy
^b C.U.B.E. Department of Cardiovascular and Respiratory Sciences, University of Rome "La Sapienza" Forlanini Hospital, Rome, Italy

Received 24 October 2005; received in revised form 11 December 2005; accepted 15 December 2005.

^_* Corresponding author. Address: Largo Pannonia 1, 00183 Rome, Italy. Tel.: +39 0677209096. (Email: lucantonig{at}libero.it).

Bronchogenic cysts are congenital abnormalities generally mediastinal and are frequently detected incidentally. We report a case of a symptomatic mediastinal cyst treated previously by video-assisted thoracoscopy (VATS) but complicated by pericystic adhesions. The subsequent incomplete excision led, after 8 months, to a cyst's recurrence that was accurately drained by endobronchial ultrasonography-guided fine needle aspiration (EBUS-FNA), with no new regrowth after 18 months. We hypothesized that the support of a high-definition diagnostic tool (EBUS) improved the FNA ability to make a deep and complete aspiration of the cyst. The usefulness of FNA in bronchogenic cyst's treatment is underestimated. Our experience is an attempt to encourage the use of EBUS-FNA as a new therapeutic option in the management of bronchogenic cyst.

Key Words: Chest-CT: chest computed tomography • VATS: video-assisted thoracoscopy • EBUS-FNA: endobronchial ultrasonography-guided fine needle aspiration

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