Author/Authors :
Sabzi، Freidoun نويسنده Imam Ali Heart Center,Department of Cardiovascular Surgery,Kermanshah University of Medical Sciences,Kermanshah,Iran , , Eizadi، Babak نويسنده School of Medicine,Department of Pathology,Kermanshah University of Medical Sciences,Kermanshah,Iran , , Javid، Nasrin نويسنده Imam Ali Heart Center,Department of Cardiovascular Surgery,Kermanshah University of Medical Sciences,Kermanshah,Iran , , Faraji، Reza نويسنده Imam Ali Heart Center,Department of Cardiovascular Surgery,Kermanshah University of Medical Sciences,Kermanshah,Iran ,
Abstract :
Introduction: Congenital thymic cyst (CTC) is a rare mediastinal mass and the retrocaval position of this cyst has not been reported in the medical literature so far.
Case Presentation: The present study reports on a 66-year-old female with coronary artery disease (CAD) who was scheduled for coronary artery bypass grafting (CABG) at our hospital. During mediastinal exploration and pericardiotomy for CABG, a large CTC was incidentally found in the retrocaval position, as a watery cyst from its anatomic location and content. Pathological examination revealed that it was a CTC. No cases of retrocaval position of CTC have been reported. Thus, here we report on this case and review the previously reported cases.
Conclusions: To our knowledge, this is the first case of CTC that was identified incidentally in the retrocaval position and caused intermittent obstruction of vena cava.