Surgical treatment of an invasive thymoma extending into the superior vena cava and right atrium

World Journal of Surgical Oncology

Gui-Lin Yin²  Tao Ji¹  Jia-Hang Xu¹  Shui-Bo Zhu¹  Xiao-Ming Zhang¹  Jiang-Shui Liang²  Yong-Qiang Dong¹ 

[1] Department of Cardio-Thoracic Surgery, Wuhan General Hospital of Guangzhou Military Command, Wuhan, Hubei 430070, China;Department of Cardio-Thoracic Surgery, Southern Medical University Affiliated Clinical College of Wuhan, Wuhan, Hubei 430070, China

关键词: Autologous pericardial ‘Y’ conduit;    Right atrium;    Superior vena cava;    Invasive thymoma;   

Others  :  820603
DOI  :  10.1186/1477-7819-12-6

 received in 2013-07-21, accepted in 2013-12-23,  发布年份 2014

【 摘 要 】

Although invasive thymoma commonly infiltrates neighbouring mediastinal structures, its extension into the superior vena cava (SVC) and consequent SVC occlusion are rare. In such cases, the urgent removal of the thymoma and radical resection of the infiltrated SVC representreasonable options, since induction therapy is time-consuming and useless for symptom resolution. A case of invasive thymoma extending into the SVC and right atrium (RA) with SVC syndrome is reported. The patient underwent a combined resection of the invasive tumor and SVC under cardiopulmonary bypass (CPB), and the SVC and bilateral brachiocephalic vein (BCV) were reconstructed with an autologous pericardial ‘Y’ conduit. After 40 months of follow-up, the patient showed a patent graft and no tumor recurrence.

【 授权许可】

   
2014 Dong et al.; licensee BioMed Central Ltd.

【 图 表 】

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