Mediastinal cysts account for 20% of all mediastinal masses. Symptomatic cysts need treatment, and surgical excision is the treatment of choice. One approach to resect them is video-assisted mediastinoscopy. An 80-year-old man with cough and dyspnea at rest was referred for evaluation. Chest computed tomography revealed a mediastinal cyst. Because of his symptoms, he was a candidate for surgery, and the cyst was resected by video-assisted mediastinoscopy through a cervical incision. Video-assisted mediastinoscopy is a safe and effective approach for complete resection of mediastinal cysts.
PattersonGACooperJDDeslauriersJLerutAEMLuketichJDRiceTW. Pearson’s Thoracic and Esophageal Surgery2008; Volume 23rd ed. Philadelphia, PA: Churchill Livingston, pp. 1581–1588.
2.
PetkarMVaideeswarPDeshpandeJR. Surgical pathology of cystic lesions of the mediastinum. J Postgrad Med2001; 47: 235–239.
3.
BurjonrappaSCTaddeucciRArcidiJ. Mediastinoscopy in the treatment of mediastinal cysts. JSLS2005; 9: 142–148.
4.
van BeersBTrigauxJPWeynantsPCollardJMMelangeM. Foregut cyst of the mediastinum: fluid reaccumulation after transbronchial needle aspiration. Br J Radiol1989; 62: 558–560.
5.
KuhlmanJEFishmanEKWangKPZerhouniEASiegelmanSS. Mediastinal cysts: diagnosis by CT and needle aspiration. AJR Am J Roentgenol1988; 150: 75–78.
6.
PopDVenissacNLeoFMourouxJ. Video-assisted mediastinoscopy: a useful technique for paratracheal mesothelial cysts. J Thorac Cardiovasc Surg2005; 129: 690–691.
7.
DavisRDJrOldhamHNJrSabistonDCJr. Primary cysts and neoplasms of the mediastinum. Recent changes in clinical presentation, methods of diagnosis, management and results. Am Thorac Surg1987; 44: 229–237.
8.
LesafferJHeremansBDe LeynPVan RaemdonckD. Video-assisted mediastinoscopic resection of a large symptomatic bronchogenic cyst. Interact Cardiovasc Thorac Surg2001; 12: 1071–1073.
