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Eur J Cardiothorac Surg 2007;32:538-540. doi:10.1016/j.ejcts.2007.06.010
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Case reports

Endobronchial ultrasound-guided transbronchial needle aspiration for the treatment of central airway stenosis caused by a mediastinal cyst

Takahiro Nakajima, Kazuhiro Yasufuku*, Kiyoshi Shibuya, Takehiko Fujisawa

Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, Japan

Received 23 February 2007; received in revised form 5 June 2007; accepted 11 June 2007.

* Corresponding author. Address: Department of Thoracic Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8670, Japan. Tel.: +81 43 222 7171x5464; fax: +81 43 226 2172. (Email: kyasufuku{at}faculty.chiba-u.jp).

Central airway stenosis caused by compression due to mediastinal cyst is rare. Direct real-time endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is a minimally invasive method for tissue sampling of the mediastinum. Using this new therapeutic modality, the mediastinum can be punctured repeatedly and safely under local anesthesia with real-time guidance. Cystic lesions are easily detectable, and the Doppler mode helps to distinguish the cystic lesion from vascular structures. We herein report a rare case of central airway stenosis caused by mediastinal cyst successfully treated by EBUS-TBNA with no regrowth after 1 year. A total of 80 ml of fluid content was aspirated, resulting in patency of the trachea.

Key Words: Bronchoscopy and interventional techniques • Mediastinal cyst • Central airway stenosis






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.