Complete removal of heart-compressing large mediastinal lipoma: a case report.
An 83-year-old man presented with worsening of respiratory discomfort and underwent close examination, which revealed a large mediastinal lipoma measuring 15 x 10 cm. The patient showed heart failure symptoms due to heart compression by tumor. The tumor was completely removed safely and reliably by cutting the ascending aorta, main pulmonary artery and superior vena cava. Although preoperative examination could not determine whether the tumor was lipoma or liposarcoma, we selected an invasive surgical therapy because neither radiation therapy nor chemotherapy was considered effective for either type of tumor. We report here a very rare case of heart-compressing mediastinal tumor.
Department of Thoracic and Cardiovascular Surgery, Fukuoka Tokushukai Hospital, 4-5 Sukukita, Kasuga City, Fukuoka, 816-0864, Japan. minenori@zc5.so-net.ne.jp
Noritoshi
N
Minematsu
Naoki
N
Minato
Keiji
K
Kamohara
Takeshi
T
Hakuba
D000369:Aged, 80 and over; D006325:Heart Atria / Q000473:pathology; D006801:Humans; D008067:Lipoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D011312:Pressure; D019616:Thoracic Surgical Procedures / Q000379:methods