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Eur J Cardiothorac Surg 2001;20:627
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Carinal bronchogenic cyst

Pascal Thomas, Christophe Doddoli, Roger Giudicelli, Pierre Fuentes

Department of Thoracic Surgery, Sainte Marguerite University Hospital, Marseille, France

Received 21 May 2001; received in revised form 18 June 2001; accepted 20 June 2001.

Corresponding author. Tel.: +33-491-744680; fax: +33-491-744590
e-mail: pathomas{at}mail.ap-hm.fr

A 40-year-old woman was known for about 20 years to have a clearly defined round mass of water density, located just inferior to the carina, and diagnosed as a non-symptomatic carinal bronchogenic cyst. Cough and blood-tinged sputum led to re-evaluate the patient with chest radiograph (Fig. 1) and CT scan (Fig. 2) . Bronchoscopy identified a 6 mm communication between the cyst and the posterior aspect of the carina. Through a right posterolateral thoracotomy, the cyst was removed successfully, and a large communication with the membranous part of the tracheobronchial tree was occluded using interrupted absorbable sutures.



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  		Fig. 1. Chest radiograph showing a well-defined, contour-bulging cyst in the subcarinal area with a air/water level.

 


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  		Fig. 2. CT-scan findings.

 



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