A 53-year-old woman was referred to our department for the presence of a saccular distal aortic arch aneurysm, revealed by plain radiography and computed tomography of the chest (Fig. 1 ). At operation a spherical cystic of 3 cm was found (Fig. 2a ). Histologic features were in keeping with the diagnosis of bronchial cyst (Fig. 2b).

Preoperative computed tomography of the chest.
Fig. 1

Preoperative computed tomography of the chest.

(a,b) Intraoperative view and histology (thin fibrous wall lined by columnar epithelium of respiratory type).
Fig. 2

(a,b) Intraoperative view and histology (thin fibrous wall lined by columnar epithelium of respiratory type).