A case with bronchogenic cyst diagnosed by reconstruction CT prior to surgery which showed cardiac abnormalities
| Autor: | Hiroshi Kasanuki, Kenji Nakamura, Hitoshi Koyanagi, Naoya Fujita, Masako Tosaka, Koshichiro Hirosawa, Atsushi K. Kono, Mizuka Kondo, Kuniko Amemiya, Shin Suzuki |
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| Rok vydání: | 1985 |
| Předmět: |
Thorax
Adult Male medicine.medical_specialty Bronchogenic cyst Pain Chest pain Electrocardiography medicine Humans Cyst cardiovascular diseases medicine.diagnostic_test business.industry Arrhythmias Cardiac Vascular surgery medicine.disease Surgery Cardiac surgery Mediastinal Cyst cardiovascular system Tomography Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed |
| Zdroj: | Heart and vessels. 1(1) |
| ISSN: | 0910-8327 |
| Popis: | A case report of a patient with bronchogenic cyst who presented with cardiogenic symptoms was described. The precise diagnosis was finally made after completing various diagnostic procedures which included reconstruction computed tomography. The patient, a 30-year-old man, was admitted to our hospital because of palpitation, chest pain and fever of three weeks duration. An electrocardiogram (ECG) revealed evidence suggestive of left atrial overloading and frequent atrial premature beats. A chest roentgenogram showed an abnormal shadow behind the right upper portion of the heart and a cross-sectional echocardiogram revealed abnormal echoes with ill-defined margins in the left atrium. Computed tomography (CT) revealed the presence of the left atrial tumor but left atriography suggested that it was extracardiac and compressing the left atrium. Reconstruction CT was therefore performed and the cyst was diagnosed as being in a subcarinal position. A mobile calcified mass was also demonstrated by the CT. An operation was performed and a cyst, 6 X 3 cm, was removed almost completely and a histopathological diagnosis of bronchogenic cyst was made. In this particular case, ECG abnormalities which suggest atrial damage and the diagnostic usefulness of reconstruction CT are stressed. |
| Databáze: | OpenAIRE |
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