J Thorac Cardiovasc Surg 2006;131:755-756
© 2006 The American Association for Thoracic Surgery
Efficient clinical application of percutaneous cardiopulmonary support for perioperative management of a huge anterior mediastinal tumor
Masayoshi Inoue, MD
a
,
*
,
Masato Minami, MD
a
,
Hiroyuki Shiono, MD
a
,
Shinichiro Miyoshi, MD
b
,
Shinichi Takeda, MD
c
,
Mitsunori Ohta, MD
d
,
Masashi Goto, MD
a
,
Hiroshi Takano, MD
a
,
Yoshiki Sawa, MD
a
,
Meinoshin Okumura, MD
a
a Division of Thoracic and Cardiovascular Surgery, Department of Surgery (E1), Osaka University Graduate School of Medicine, Tochigi, Japan
b Department of Thoracic Surgery, Toneyama National Hospital, Tochigi, Japan
c Department of Thoracic Surgery, Kinki Chuo Chest Medical Center, Tochigi, Japan
d Department of Cardio Thoracic Surgery, Dokkyo University School of Medicine, Tochigi, Japan
Received for publication October 18, 2005; revisions received November 10, 2005; accepted for publication November 16, 2005.
* Address for reprints: Masayoshi Inoue, MD, PhD, Division of Thoracic and Cardiovascular Surgery, Department of Surgery (E1), Osaka University Graduate School of Medicine, 2-2 Yamadaoka Suita-city, Tochigi, 565-0871, Japan (Email: masa@surg1.med.osaka-u.ac.jp).
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Herein we summarize our experience with 4 patients who had huge tumors that compressed mediastinal neighboring organs. Patient findings are summarized in Table 1, with computed tomographic (CT) images shown in Figure 1.
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TABLE 1. Patient data
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Figure 1. A, Patient 1: the right main PA and left main bronchus are seen compressed by an anterior mediastinal tumor. B, Patient 2: a metastatic tumor surrounding the great vessels is shown causing bronchial stenosis. C, Patient 3: emergency CT image taken after a needle biopsy revealing an intratumorous hemorrhage causing ventilation insufficiency. D, Patient 4: an anterior huge mass is seen compressing the left main bronchus and right main PA. The content was heterogeneous and consisted of cystic and calcified portions.
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Clinical Summary
Patient 1
The patient was referred to our hospital with chest pain. Chest radiography and CT (Figure 1, A) images revealed a mediastinal mass 14 cm in diameter that was compressing the right main pulmonary artery (PA) and left main bronchus. Serum ß-human chorionic gonadotropin . . . [Full Text of this Article]
Copyright © 2006 by The American Association for Thoracic Surgery.
