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J Thorac Cardiovasc Surg 2006;131:1196-1197
© 2006 The American Association for Thoracic Surgery

Brief Communication

Nourishing vascularization of a thymoma issued from a left internal thoracic artery graft

Pascal A. Thomas, MD a , b , c , * , Frédéric Collart, MD a , b , c , Christophe Doddoli, MD a , b , c , Vlad Gariboldi, MD a , b , c , Guy Moulin, MD a , b , c

a Department of Thoracic Surgery, Sainte Marguerite & La Timone University Hospitals, Marseille, France
b Department of Cardiac Surgery, Sainte Marguerite & La Timone University Hospitals, Marseille, France
c Department of Radiology, Sainte Marguerite & La Timone University Hospitals, Marseille, France

Received for publication November 22, 2005; accepted for publication December 16, 2005.

* Address for reprints: P. Thomas, MD, Department of Thoracic Surgery, Ste Marguerite Hospital—CHU Sud, 270 Bd Ste Marguerite, 13274 Marseille Cedex 9, France (Email: Pascal-alexandre.Thomas@mail.ap-hm.fr).

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

A 71-year-old man underwent chest computed tomographic (CT) scan in June 2002 as part of an ongoing program for thoracic malignancy screening because he was a former worker with significant exposure to asbestos. In 1988, he had received one left internal thoracic artery (LITA) graft to the mid left anterior descending artery and one saphenous vein graft to the first marginal branch of the left circumflex artery because of severe angina. The chest CT scan identified a 5-cm homogeneous anterior mediastinal mass located on the left aspect of the thymic area (Figure 1). The LITA graft was shown as contiguous with the tumor. Selective catheterization of the LITA disclosed a patent graft as well as a rich, nourishing vasculature supplying the tumor and originating from the graft (Figure 2). Coronary arteriography revealed severe native vessel disease with complete occlusion of the right and 70% obstruction of the distal left main coronary arteries. Left ventriculography showed . . . [Full Text of this Article]






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