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J Thorac Cardiovasc Surg 2005;130:918-919
© 2005 The American Association for Thoracic Surgery


Brief Communication

Mediastinitis and pseudoaneurysm of brachiocephalic artery long after the resection of invasive thymoma and postoperative irradiation

Kenichi Okubo, MD * , Jun Isobe, MD, Jiro Kitamura, MD, Yoichiro Ueno, MD

General Thoracic Surgery and Cardiac Surgery, National Hospital Organization, Nagara Medical Center, Gifu, Japan.

Received for publication March 14, 2005; accepted for publication May 3, 2005.

* Address for reprints: Kenichi Okubo, MD, General Thoracic Surgery, National Hospital Organization, Nagara Medical Center, 1300-7 Nagara, Gifu 502-0071, Japan (Email: okubo@nagara-lan.hosp.go.jp).

The first 20% of the full text of this article appears below.

Mediastinitis is a complication after median sternotomy. We report a rare case of mediastinitis and mycotic pseudoaneurysm of the brachiocephalic artery that occurred long after the resection of invasive thymoma and postoperative irradiation and was treated with extensive procedures.

Clinical Summary

A 68-year-old woman was seen with skin ulceration and suppuration from the wound in the anterior chest wall. She had undergone resection of invasive thymoma through median sternotomy 65 months previously. This operative treatment included combined resection of pericardium, right lung, and superior vena cava, along with interposition of an artificial polytetrafluoroethylene graft between the brachiocephalic vein and the right atrium. The patient received adjuvant radiation therapy of 50 Gy to the mediastinum for pathologically diagnosed Masaoka stage III thymoma. Computed tomography of the chest showed a dilated branch of the aortic arch compressing the sternum . . . [Full Text of this Article]







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