Urgent Surgical Approach to Mediastinal Cyst Causing Life-Threatening Tracheal Obstruction Lin Cheng, MD, Ai Huang, MD, Ke Jiang, MD, Shijie Xing, MD,

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Urgent Surgical Approach to Mediastinal Cyst Causing Life-Threatening Tracheal Obstruction Lin Cheng, MD, Ai Huang, MD, Ke Jiang, MD, Shijie Xing, MD, PhD, Jianjun Wang, MD, Jun Nie, MD, PhD The Annals of Thoracic Surgery Volume 105, Issue 3, Pages e125-e128 (March 2018) DOI: 10.1016/j.athoracsur.2017.10.018 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A–C) Enhanced computed tomography scans of the 8.2- × 7.1- × 12-cm mediastinal cyst. The trachea, superior vena cava or innominate vein, 3 major branches of the aortic arch, left lobe of the thyroid, and esophagus were displaced from their original positions due to compression of the cyst. (D) The tracheal softening test was negative. The Annals of Thoracic Surgery 2018 105, e125-e128DOI: (10.1016/j.athoracsur.2017.10.018) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A and B) Video-assisted thoracoscopic images show the intraoperative appearance of the cyst. (C) Percutaneous needle aspiration of the cyst on left supraclavicular fossa. (D) Surgical specimens. The Annals of Thoracic Surgery 2018 105, e125-e128DOI: (10.1016/j.athoracsur.2017.10.018) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A and B) Postoperative chest computed tomography scan identified no evident abnormalities in mediastinum area. (C) Pathologic examination determined the mediastinal cyst was benign (hematoxylin and eosin stain, original magnification ×100). The Annals of Thoracic Surgery 2018 105, e125-e128DOI: (10.1016/j.athoracsur.2017.10.018) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions