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Eur J Cardiothorac Surg 2008;34:1260-1261. doi:10.1016/j.ejcts.2008.09.021
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.

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Christopher Andrew Efthymiou
Emmanuel Michael Kefaloyannis
James Andrew Charles Thorpe
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Case reports

Massive bronchogenic cyst mimicking ischaemic chest pain

Christopher Andrew Efthymiou*, Emmanuel Michael Kefaloyannis, James Andrew Charles Thorpe

Department of Thoracic Surgery, St James’ Hospital, Beckett Street, Leeds, LS9 7TF, United Kingdom

Received 9 June 2008; received in revised form 27 August 2008; accepted 8 September 2008.

* Corresponding author. Tel.: +44 113 3925 737; fax: +44 113 3926 657. (Email: c_efthymiou{at}hotmail.com).

The presentation of the bronchogenic cyst is variable making preoperative diagnosis difficult. The majority are either asymptomatic or discovered incidentally. The most common presenting symptoms are cough, fever and dyspnoea. We discuss the case of a large bronchogenic cyst in the posterior mediastinum mimicking ischaemic cardiac pain in a patient with known heart disease. This case demonstrates the need for detailed investigations prior to the treatment of an assumed acute coronary syndrome as a bronchogenic cyst may be the rare cause of such symptoms.

Key Words: Acute coronary syndrome • Posterior mediastinum • Bronchogenic cyst







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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.