{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T18:40:01Z","timestamp":1770316801262,"version":"3.49.0"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Bronchogenic cysts (BCs) are a type of congenital mediastinal tumor. This article reports a case that a BC associated with pericardial hypoplasia receives direct arterial supply from the descending aorta, forming a structure resembling pulmonary sequestration. A 17-year-old female was accidentally discovered to have a mediastinal cyst during a routine physical examination. The patient was asymptomatic. Computed tomography (CT) imaging revealed that there was a thick blood vessel on the surface of the cyst, which directly connected to the descending aorta. Following comprehensive preoperative vascular assessment, the cyst was successfully resected intraoperatively by linear cutting stapler, minimizing the risk of significant perioperative hemorrhage. Additionally, partial hypoplasia of the left pericardium was found during the operation, which was suspicious to be related to the BC. Given the limited residual pleural space following cyst removal, pericardial suturing was not performed. This article aims to provide ideas and references for the subtypes and treatment methods of BCs in the future, and emphasizes the importance of preoperative vascular assessment.<\/jats:p>","DOI":"10.3389\/fmed.2026.1709492","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T06:44:35Z","timestamp":1770273875000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Bronchogenic cysts with pericardial hypoplasia are directly supplied by the descending aorta"],"prefix":"10.3389","volume":"13","author":[{"given":"Mingyang","family":"Zang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Qilu Hospital of Shandong University","place":["Jinan, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Qilu Hospital of Shandong University","place":["Jinan, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaoliang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Xishui County People's Hospital","place":["Zunyi, Guizhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiwei","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Radiology, Qilu Hospital of Shandong University","place":["Jinan, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pathology, Qilu Hospital of Shandong University","place":["Jinan, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangchen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Qilu Hospital of Shandong University","place":["Jinan, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiankun","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Qilu Hospital of Shandong University","place":["Jinan, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenguo","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Qilu Hospital of Shandong University","place":["Jinan, Shandong, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"rjv052","DOI":"10.1093\/jscr\/rjv052","article-title":"Bronchogenic cyst associated with congenital absence of the pericardium","volume":"2015","author":"Hiraoka","year":"2015","journal-title":"J Surg Case Rep"},{"key":"ref2","volume-title":"Bronchogenic cyst","author":"Sharma","year":"2024"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1186\/1749-8090-6-85","article-title":"Bronchogenic cyst associated with pericardial defect: case report and review of the literature","volume":"6","author":"Imperatori","year":"2011","journal-title":"J Cardiothorac Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1007\/s11547-008-0255-8","article-title":"Bronchogenic cysts in the adult: diagnostic criteria derived from the correct use of standard radiography and computed tomography","volume":"113","author":"Cardinale","year":"2008","journal-title":"Radiol Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"770","DOI":"10.1007\/s00464-004-9115-3","article-title":"Linear stapling of the short gastric vessels reduces blood loss and splenectomy at oesophageal and gastric surgery","volume":"20","author":"Dowdall","year":"2006","journal-title":"Surg Endosc"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.clinimag.2020.11.040","article-title":"Pulmonary sequestration: what the radiologist should know","volume":"73","author":"Gabelloni","year":"2021","journal-title":"Clin Imaging"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1111\/crj.13672","article-title":"Imaging and pathological characteristics, treatment, and prognosis of pulmonary sequestration-a retrospective study of 13 cases","volume":"17","author":"Liu","year":"2023","journal-title":"Clin Respir J"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"3010","DOI":"10.1007\/s00464-015-4082-4","article-title":"Esophageal bronchogenic cyst and review of the literature","volume":"29","author":"Altieri","year":"2015","journal-title":"Surg Endosc"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1186\/s12893-021-01453-3","article-title":"Congenital partial pericardial defect discovered incidentally during surgery for lung cancer: a case report and literature review","volume":"21","author":"Iijima","year":"2021","journal-title":"BMC Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"dev155994","DOI":"10.1242\/dev.155994","article-title":"The ontogeny, activation and function of the epicardium during heart development and regeneration","volume":"145","author":"Sim\u00f5es","year":"2018","journal-title":"Development"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1709492\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T06:44:36Z","timestamp":1770273876000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1709492\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,5]]},"references-count":10,"alternative-id":["10.3389\/fmed.2026.1709492"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1709492","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,5]]},"article-number":"1709492"}}