Surgical resection of adenocarcinoma arising from an accessory cardiac bronchus

A 62-year-old woman was referred to our hospital for evaluation of hemoptysis. Chest computed tomography demonstrated an accessory cardiac bronchus (ACB) arising from the carina with a well-defined mass approximately 3 cm in size. Fiberoptic bronchoscopy also revealed the presence of an ACB arising from the carina. We performed mass excision and en bloc resection of portions of the pericardium. Pathologic examination revealed that the tumor was an adenocarcinoma arising from an ACB.