Reconstruction of the aortic arch in invasive thymoma under retrograde cerebral perfusion.
Extensive en-bloc resection of the aortic arch and anterior wall of the main pulmonary artery was performed in a 46-year-old man with invasive thymoma. The aortic arch was replaced with a Hemashield vascular graft under hypothermic circulatory arrest with retrograde cerebral perfusion. Patch plasty with Xenomedica was performed for the anterior wall of the main pulmonary artery under cardiopulmonary bypass. The patient was treated with postoperative radiotherapy and has remained asymptomatic for 15 months after the operation. An extensive operation is considered necessary to improve the prognosis of invasive thymoma.
Second Department of Surgery, Shiga University of Medical Science, Otsu, Japan. shozo@belle.shiga-med.ac.jp
S
S
Fujino
N
N
Tezuka
S
S
Watarida
K
K
Katsuyama
S
S
Inoue
A
A
Mori
D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D002560:Cerebrovascular Circulation; D018572:Disease-Free Survival; D005500:Follow-Up Studies; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011379:Prognosis; D019919:Prosthesis Implantation; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D013945:Thymoma / Q000473:pathology / Q000601:surgery*; D013953:Thymus Neoplasms / Q000473:pathology / Q000601:surgery*