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Eur J Cardiothorac Surg 2002;22:311
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Bronchogenic cyst with milk of calcium

Tamer Altinok*, Salih Topçu, I. Cüneyt Kurul, Ulkü Yazici

Department of Thoracic Surgery, Atatürk Center for Chest Disease and Thoracic Surgery, Ankara, Turkey

Received 11 February 2002; received in revised form 10 April 2002; accepted 23 April 2002.

* Corresponding author. Sehit Mustafa Ba Cad., 79/4 06130, Adyinlikevler, Ankara, Turkey. Tel.: +90-3123552110-1332
e-mail: taltinoks{at}yahoo.com

Key Words: Bronchogenic cyst • Milk of calcium

A 42 year-old man was admitted with the symptoms of chest pain, dyspnea and hoarseness. Radiographic findings revealed a cystic mass located in aortic window and having fluid, which contain milk of calcium, moving due to gravity (Fig. 1 ). Digital substraction anjiography showed, blocked blood flow beyond left main pulmonary artery and elongation of the aorta. The patient's general condition improved after the removal of the mass. Pathologic examination revealed bronchogenic cyst.



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  		Fig. 1. Cystic mass located in the visceral compartment of mediastinum contains milk of calcium. Pulmonary artery is compressed and left main bronchus is encircled by the mass. Pulmonary digital substraction anjiography showed the mass and no blood flowing beyond the left main pulmonary artery.

 




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