Video-assisted thoracoscopic excision of a bronchogenic cyst with a pericardial defect and an aortic feeding artery.

Bronchogenic cysts are rare congenital foregut anomalies, often detected incidentally. We report the case of a 24-year-old female who was incidentally detected during a routine health check-up to have a mediastinal mass. Preoperative chest computed tomography imaging suggested a benign bronchogenic cyst. Minimally invasive video-assisted thoracoscopic surgery was planned for its excision. Intraoperatively, a pericardial defect and a feeding artery arising from the aortic arch were noted. The patient recovered uneventfully and was discharged on postoperative day 3. This case demonstrates the utility of video-assisted thoracoscopic surgery in the excision of bronchogenic cysts, in the presence of these intraoperative findings with the advantages of less surgical trauma and faster recovery.