Video-assisted mediastinoscopic drainage of a bronchogenic cyst presenting with cardiac dysfunction.

Bronchogenic cysts originate from the anomalous development of the ventral foregut. The usual presentation of bronchogenic cyst in the mediastinum is related to cyst infection or tracheobronchial compression. We describe a case of bronchogenic cyst presenting with cardiac dysfunction and hemodynamic compromise in a 23-year-old man with chest pain and progressive dyspnea. A high body mass index and respiratory dysfunction increased the risk of open surgery. Therefore, video-assisted cervical mediastinoscopy was performed and de-roofing of the cyst achieved resolution of his cardiovascular dysfunction and symptoms.