Uniportal video-assisted removal of a right paratracheal pericardial cyst: an unusual location.

Journal of visualized surgery Pub Date : 2018-03-20 eCollection Date: 2018-01-01 DOI:10.21037/jovs.2018.02.08
Andrea Dell'Amore, Alessio Campisi, Domenica Giunta, Stefano Congiu, Giampiero Dolci, Roberto Agosti
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Abstract

Cystic lesions of the pericardium are a rare entity. Generally, they are congenital and located in the cardiophrenic angle. The right paratracheal location is unusual and differential diagnosis in particular with bronchogenic cyst is difficult even when using magnetic resonance imaging (MRI). The surgical indication exists in case of symptomatic patients or huge mass with compression of nearby structures. Different surgical approaches have been reported in literature to treat mediastinal cysts. We report a case of uniportal thoracoscopic removal of an unusual located right paratracheal pericardial cyst.

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单孔视频辅助切除右侧气管旁心包囊肿:一个不寻常的位置。
心包囊性病变是一种罕见病。一般来说,它们是先天性的,位于心房角。右侧气管旁的位置并不常见,即使使用磁共振成像(MRI)也很难进行鉴别诊断,尤其是与支气管源性囊肿的鉴别诊断。有症状的患者或巨大肿块压迫附近结构的患者有手术指征。文献报道了不同的手术方法来治疗纵隔囊肿。我们报告了一例单孔胸腔镜下切除位置异常的右侧气管旁心包囊肿的病例。
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