Giant yolk sac tumor operated under percutaneous cardiopulmonary support (PCPS) and aspiration device.
We here report the case of an 18-year-old man with a giant yolk sac tumor that is resected under percutaneous cardiopulmonary support (PCPS). Because this patient had severe dyspea when he lay in a supine position, we resected the tumor. We used PCPS during the operation for the induction and maintenance of ventilation because his trachea and left main bronchus were collapsed by the tumor. Also, we used a vacuum aspiration device that is commonly used for facilitating difficult vaginal deliveries. We propose that several devices, such as a PCPS and vacuum aspiration device, are useful for the operation of a mediastinal tumor with dyspnea.
Yamashita
Shin-ichi
S
Department of Surgery, National Hospital Organization, Kumamoto Medical Center, Kumamoto, Japan.
Nakagawa
Masahide
M
Takaji
Kentaro
K
Kei
Jun-ichi
J
Kawahara
Katsunobu
K
D000293:Adolescent; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation*; D004417:Dyspnea / Q000209:etiology; D018240:Endodermal Sinus Tumor / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004867:Equipment Design; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012121:Respiration, Artificial / Q000295:instrumentation*; D013249:Sternum / Q000601:surgery; D013396:Suction / Q000295:instrumentation*; D016683:Supine Position; D014057:Tomography, X-Ray Computed