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J Thorac Cardiovasc Surg 2006;132:705-706
© 2006 The American Association for Thoracic Surgery

Brief Communication

Successful perioperative management of a middle mediastinal paraganglioma

Jun Matsumoto, MD*, Jun Nakajima, MD, Eriho Takeuchi, MD, Takeshi Fukami, MD, Kan Nawata, MD, Shin-ichi Takamoto, MD

Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.

Received for publication January 23, 2006; accepted for publication February 22, 2006.

* Address for reprints: Jun Matsumoto, MD, Division of Surgery, Asahi General Hospital, I-1326 Asahi, Chiba, Japan (Email: matsumoto@hospital.asahi.chiba.jp).

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


Figure 1
Dr Matsumoto


Middle mediastinal paragangliomas are very rare, slow-growing tumors, but almost all of them are very hypervascular tumors. Complete surgical resection is difficult to achieve because of their proximity to the heart, great vessels, and trachea. We report successful complete resection incorporating preoperative embolization and a clamshell bilateral thoracotomy.

Clinical Summary

A 52-year-old woman was found to have an abnormal shadow on a chest radiograph for a medical checkup. Chest computed tomography at another hospital revealed a large well-enhanced mass with a cystic lesion located between the superior vena cava, aortic arch, right pulmonary artery, left atrium, and trachea (Figures 1 and 2). Go A video-assisted thoracoscopic biopsy was performed at . . . [Full Text of this Article]




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