J Thorac Cardiovasc Surg 2010;139:e23-e25
© 2010 The American Association for Thoracic Surgery
Solitary fibrous mediastinal tumor with coronary vascular supply: An unusual case
N. Qedra, MD*,
M. Kadry, MD, PhD,
E. Ivanitskaia-Kühn, MD,
S. Buz, MD,
R. Meyer, MD, PhD,
H. Laube, MD, PhD,
R. Hetzer, MD, PhD
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany
Received for publication August 1, 2008; accepted for publication August 21, 2008.
* Address for reprints: Naser Qedra, MD, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. (Email: qedra@gmx.de).
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Introduction
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Solitary fibrous tumor (SFT) of the mediastinum occurs most commonly in the visceral and parietal pleura; it is extremely rare for it to affect cardiac structures. We report, for the first time, a case of mediastinal SFT with an unusual vascular supply from the coronary arteries and an unusual location. The tumor was diagnosed 34 months after aortic valve replacement and revascularization of the left anterior descending coronary artery with the left internal thoracic artery (ITA). It was completely resected, and 16 months later, there have been no local or distant recurrences.
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Clinical Summary
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A 68-year-old man underwent aortic valve replacement, reduction plasty of the ascending aorta, and revascularization of the left anterior descending coronary artery with the left ITA. The perioperative chest radiograph was without pathologic findings (Figure 1, A). Because of planned inguinal hernia repair 34 months later, a routine chest roentgenogram was taken, and this showed a well-delineated abnormal shadow (Figure 1, B). At this time, the patient was asymptomatic. At an external hospital, sonography-guided needle aspiration of the mass . . . [Full Text of this Article]
Copyright © 2010 by The American Association for Thoracic Surgery.
