title: Transcaval invasion of right atrium by thymoma: resection via transient cava-pulmonary shunt.
abstract: Transcaval extension of the thymoma to the right atrium has very rarely been reported, and cardiopulmonary bypass is recommended for successful resection. An invasive thymoma with intravascular invasion of the superior vena cava, and the left innominate vein extending into the right atrium was presented. Intra-atrial extension was resected through a transient external shunt from the inferior vena cava to the main pulmonary artery. We discussed the feasibility of this surgical technique and possible advantages of cardiopulmonary bypass avoidance.
authors.affiliation: Department of Thoracic Surgery, Istanbul University, Istanbul Medical School, Istanbul, Turkey. aetoker@superonline.com
authors.forename: Alper
authors.initials: A
authors.lastname: Toker
authors.forename: Emin
authors.initials: E
authors.lastname: Tireli
authors.forename: Serhan
authors.initials: S
authors.lastname: Tanju
authors.forename: Serkan
authors.initials: S
authors.lastname: Kaya
mesh_terms: D016121:Brachiocephalic Veins / Q000473:pathology; D005260:Female; D006325:Heart Atria / Q000473:pathology; D018610:Heart Bypass, Right / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D013945:Thymoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013953:Thymus Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000473:pathology