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Eur J Cardiothorac Surg 2001;20:628
© 2001 Elsevier Science NL


Images in cardio-thoracic surgery

A bronchogenic cyst presenting itself as an aortic arch aneurysm

Massimo Lemma, Guido Gelpi, Daniele Solenghi, Carlo Antona

Divisione di Chirurgia Cardiovascolare, Via GB Grassi no 74, 20157, Milan, Italy

Received 23 March 2001; received in revised form 25 May 2001; accepted 26 May 2001.

Corresponding author. Tel.: +39-02-3904-2333; fax: +39-02-3904-2652
e-mail: cardsurg_sacco_h{at}hotmail.com

A 53-year-old woman was referred to our department for the presence of a saccular distal aortic arch aneurysm, revealed by plain radiography and computed tomography of the chest (Fig. 1 ). At operation a spherical cystic of 3 cm was found (Fig. 2a ). Histologic features were in keeping with the diagnosis of bronchial cyst (Fig. 2b).



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Fig. 1. Preoperative computed tomography of the chest.

 


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Fig. 2. (a,b) Intraoperative view and histology (thin fibrous wall lined by columnar epithelium of respiratory type).

 



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