Radical excision of thymic adenocarcinoma with selective cerebral perfusion.
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.
Yoshioka
Masakazu
M
Department of Thoracic Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan. masakazu-yoshioka@saiseikaikumamoto.jp
Ichiguchi
Osamu
O
Hirayama
Touitsu
T
Sassa
Toshiharu
T
Kamio
Takihiro
T
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