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Early atrial septal defect surgery due to a bronchogenic cyst causing congestive heart failure by left atrium compression

^a Department of Cardiothoracic Surgery K6-S, Leiden University Medical Center, Albinusdreef 2, 2333 2A, Leiden, The Netherlands
^b Department of Pediatric Cardiology, Leiden University Medical Center, The Netherlands
^c Department of Pediatric Cardiology, Juliana Childrens Hospital, The Hague, The Netherlands

*Corresponding author. Tel.: +31 71 526 4022; fax: +31 71 526 6965.

E-mail address: vxmr{at}yahoo.es; v.x.mosquerarodriquez{at}lumc.nl (V.X. Mosquera).

We report on an uncommon case of a 10-month-old patient who required early surgical closure of an ostium secumdum atrial septal defect due to the concomitant presence of a big subcarinal bronchogenic cyst compressing the left atrium and, therefore, increasing the left-to-right shunt. It led to refractory congestive heart failure symptoms, establishing thereby an earlier indication of surgical treatment.

Key Words: CHD; Septal defects; Cysts; Heart failure