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J Thorac Cardiovasc Surg 2007;134:1596-1597
© 2007 The American Association for Thoracic Surgery


Brief Communication

Isolated mediastinal cystic lymphangioma in a child

Alpha Mathew Kavunkal, MCh*, Jayavelan Ramkumar, MCh, Shivanand Gangahanumaiah, MCh, Kancheepuram N. Parimelazhagan, MCh, Vijit Koshy Cherian, MCh

Department of Cardiothoracic Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India.

Received for publication July 23, 2007; accepted for publication August 15, 2007.

* Address for reprints: Alpha Mathew Kavunkal, MCh, Lecturer, Department of Cardiothoracic Surgery Unit 1, Christian Medical College & Hospital, Vellore, 632 004, Tamil Nadu, India. (Email: alphakavi@hotmail.com).

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


Figure 1
Drs Kavunkal, Ramkumar, Gangahanumaiah, Parimelazhagan and Cherian (left to right)


Cystic lymphangioma is a developmental malformation of the lymphatic system. As they develop in the body surface, 90% of all lymphangiomas are found by 2 years of age.1Go However, those developing in the mediastinum, which account for less than 1%, are mostly asymptomatic and are usually found accidentally in adulthood.2Go We report here a rare case of isolated mediastinal cystic lymphangioma in a 3-year-old child.

Clinical Summary

A 3-year-old girl had had intermittent low-grade fever for 2 weeks. A chest radiogram showed a large homogeneous opacity in the left lower lung field (Figure 1). A computed tomographic scan revealed a well-defined 10 x 5-cm cystic lesion in the left paracardiac region in close contact with the heart (Figure 2). Superiorly, it extended . . . [Full Text of this Article]




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J. Thorac. Cardiovasc. Surg.Home page
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Emergency surgery for macrocystic lymphatic malformation in the lung of a neonate
J. Thorac. Cardiovasc. Surg., September 1, 2011; 142(3): e133 - e134.
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