title: Radical excision of thymic adenocarcinoma with selective cerebral perfusion.
abstract: Most cases of thymic carcinoma have some invasion to neighboring organs when diagnosed, and it is generally difficult to completely remove. We adopted selective cerebral perfusion as a cerebral protection and successfully performed resection of a thymic adenocarcinoma that involved the superior vena cava, left brachiocephalic vein, right brachiocephalic artery and vein, and left common carotid artery in a 47-year-old woman. Even if multiple great vessels were involved by mediastinal malignant tumor, complete resection with selective cerebral perfusion could be safely performed.
authors: Department of Thoracic Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan. masakazu-yoshioka@saiseikaikumamoto.jp
authors: Masakazu
authors: M
authors: Yoshioka
authors: Osamu
authors: O
authors: Ichiguchi
authors: Touitsu
authors: T
authors: Hirayama
authors: Toshiharu
authors: T
authors: Sassa
authors: Takihiro
authors: T
authors: Kamio
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery*; D000714:Anastomosis, Surgical; D016121:Brachiocephalic Veins; D002545:Brain Ischemia / Q000517:prevention & control*; D002315:Cardiopulmonary Bypass; D017536:Carotid Artery, Common; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008479:Mediastinal Neoplasms / Q000556:secondary* / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D010477:Perfusion / Q000379:methods; D018570:Risk Assessment; D013908:Thoracotomy / Q000379:methods; D013953:Thymus Neoplasms / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods; D014683:Vena Cava, Superior