Foregut Cyst Case Report Volume 2 - Issue 3

Sushanta*

• Consultant & Head-Department of Emergency Medicine, Emergency Medicine, Manipal Hospital, India

Received: December 15, 2019;  Published: January 06, 2020

Corresponding author: Sushanta, Consultant & Head-Department of Emergency Medicine, Emergency Medicine, Manipal Hospital, India

DOI: 10.32474/GJAPM.2020.02.000140

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Abstract

A 70-year-old female presented with gradual onset dyspnea with moderate exertion for 6 months. She had history of stroke 1 month back which was resolved. On 2D echo she had a mass in LA (1.6×1.6cm) with base attached to IAS adjacent to AML. On coronary angiography she had lesion in LAD with 60-70% stenosis. But intraoperative TEE revealed mass in left ventricle attached to PML undersurface. The operation was performed, CABG with LIMA to LAD grafting & transannular decompression of the LV mass performed. Surgery done uneventfully. The cyst content consists of necrotic sebaceoustype material with calcification. Histopathology of excised material revealed it to be a foregut cyst of myocardium. The patient had an uneventful postoperative course and was discharged in good clinical condition.

Keywords: Foregut cyst; Left ventricle; Transannular decompression

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