title: Surgical treatment of an invasive thymoma extending into the superior vena cava and right atrium.
abstract: Although invasive thymoma commonly infiltrates neighbouring mediastinal structures, its extension into the superior vena cava (SVC) and consequent SVC occlusion are rare. In such cases, the urgent removal of the thymoma and radical resection of the infiltrated SVC representreasonable options, since induction therapy is time-consuming and useless for symptom resolution. A case of invasive thymoma extending into the SVC and right atrium (RA) with SVC syndrome is reported. The patient underwent a combined resection of the invasive tumor and SVC under cardiopulmonary bypass (CPB), and the SVC and bilateral brachiocephalic vein (BCV) were reconstructed with an autologous pericardial 'Y' conduit. After 40 months of follow-up, the patient showed a patent graft and no tumor recurrence.
authors.forename: Yong-Qiang
authors.initials: YQ
authors.lastname: Dong
authors.forename: Jiang-Shui
authors.initials: JS
authors.lastname: Liang
authors.forename: Xiao-Ming
authors.initials: XM
authors.lastname: Zhang
authors.forename: Shui-Bo
authors.initials: SB
authors.lastname: Zhu
authors.forename: Jia-Hang
authors.initials: JH
authors.lastname: Xu
authors.forename: Tao
authors.initials: T
authors.lastname: Ji
authors.affiliation: Department of Cardio-Thoracic Surgery, Wuhan General Hospital of Guangzhou Military Command, Wuhan, Hubei 430070, China. yin52@aliyun.com.
authors.forename: Gui-Lin
authors.initials: GL
authors.lastname: Yin
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006325:Heart Atria / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D011379:Prognosis; D013479:Superior Vena Cava Syndrome / Q000473:pathology / Q000601:surgery*; D013945:Thymoma / Q000473:pathology / Q000601:surgery*; D013953:Thymus Neoplasms / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed