A rare intrapericardial mass in a neonate.
J Pediatr Surg
; 27(10): 1361-3, 1992 Oct.
Article
em En
| MEDLINE
| ID: mdl-1403523
ABSTRACT
We describe a rare case of a neonate born with an intrapericardial mass composed of extralobar pulmonary sequestration and a cyst of bronchogenic origin. After an uneventful delivery, this full-term newborn was noted to be grunting and indrawing. He remained tachypneic despite adequate management for bilateral pneumothoraces. Diagnostic studies showed a 3 x 3 x 4 cm diameter cystic lesion in the anterior mediastinum causing posterior-lateral displacement of the superior vena cava. The heart itself was structurally normal. Bronchoscopy and esophagoscopy failed to detect any structural abnormalities. At 3 weeks of age, sternotomy and resection of the lesion was performed. The mass was clearly intrapericardial and consisted of sequestrated pulmonary tissue with a unilocular mucus filled bronchogenic cyst. Small systemic tributaries fed the lesion from the posterior-superior aspect. There was no connection with the heart or great vessels. Postoperative recovery was uneventful.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pericárdio
/
Brônquios
/
Coristoma
/
Pulmão
/
Neoplasias do Mediastino
Limite:
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
1992
Tipo de documento:
Article
País de afiliação:
Canadá