Giant bronchogenic cyst within the aortic wall mimicking symptoms of acute type A aortic dissection  Ömer Senbaklavaci, MD, Lars Oliver Conzelmann, MD,

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Giant bronchogenic cyst within the aortic wall mimicking symptoms of acute type A aortic dissection  Ömer Senbaklavaci, MD, Lars Oliver Conzelmann, MD, Christoph Brochhausen, MD, Christian F. Vahl, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 141, Issue 1, Pages e7-e8 (January 2011) DOI: 10.1016/j.jtcvs.2010.09.031 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Computed tomographic images. A, White arrows show a thickening of the ascending aortic wall, a finding suggestive of intramural hematoma. Black arrows show a 7.5 × 7.5 × 5.5–cm fluid lesion behind the ascending aorta with compression of the left main bronchus. B, Arrows show a 1-cm pericardial effusion retrocardially. The Journal of Thoracic and Cardiovascular Surgery 2011 141, e7-e8DOI: (10.1016/j.jtcvs.2010.09.031) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Histologic findings of the bronchogenic cyst, which was accompanied with bleeding in the adventitia of the aortic wall (∗), whereas the media (M) of the aorta was intact. The bronchogenic cyst itself consisted of an epithelial lined (arrow) central lumina (L) and had a connection to the adventitia of the aortic wall (∗). (Hematoxylin and eosin stain, original magnification 100×.) The Journal of Thoracic and Cardiovascular Surgery 2011 141, e7-e8DOI: (10.1016/j.jtcvs.2010.09.031) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions