ArticleSurgical case reports2025
Delayed Hemorrhage Following Needle Aspiration for a Mediastinal Cyst: The Significance of Confronting Upside-Down Video-Assisted Thoracic Surgery Under Two-Lung Ventilation.
Article in Surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Confronting Upside-Down Video Assisted Thoracic Surgery for Posterior Mediastinal Müllerian Duct Cysts.Cureus · 2026Article
- Confronting Upside-Down Video-Assisted Thoracic Surgery for Anterior Mediastinal Leiomyoma.Surgical case reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSurgical resection remains the gold standard for managing mediastinal cysts, including bronchogenic cysts, whereas needle aspiration serves as an alternative option that can facilitate preoperative volume reduction or, in certain selected cases, serve as a definitive treatment. However, it may lead to rare but potentially life-threatening complications such as mediastinitis; therefore, its indication should be carefully considered. This report details a case of a delayed intracystic hemorrhage 3 days after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), requiring emergency surgery with venoarterial extracorporeal membrane oxygenation (V-A ECMO) on standby, which was successfully managed using a confronting upside-down video-assisted thoracoscopic surgery (VATS) approach. CASE PRESENTATION: A 64-year-old woman with exertional dyspnea was diagnosed with a superior mediastinal cyst compressing the trachea and esophagus. Preoperative EUS-FNA was performed to reduce the cyst volume and any mitigate potential complications during anesthesia induction. Three days later, she developed dyspnea due to a delayed intracystic hemorrhage, necessitating emergency surgery. VATS with a confronting upside-down monitor setup was performed under standby V-A ECMO. Despite a limited surgical field under 2-lung ventilation, a confronting upside-down VATS approach allowed sufficient visualization and maneuverability. The patient had an uneventful recovery, with no recurrence at 3 months.
conclusionsA delayed intracystic hemorrhage is a potential risk following an EUS-FNA for mediastinal cysts. A confronting upside-down VATS approach provides sufficient maneuverability even for superior mediastinal tumors, despite a limited surgical field due to inadequate 1-lung ventilation. Placement of the camera port in the higher intercostal space was deemed particularly crucial.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.