title: Resection of an intrapericardial paraganglioma under cardiopulmonary bypass.
abstract: We describe the case of a 52-year-old woman with a non-functional middle mediastinal paraganglioma. Radiologic diagnosis of paraganglioma was confirmed by multidetector computed tomography and (18)F-fluorodeoxyglucose positron-emission tomography, without biopsy. Surgical resection was performed via a median sternotomy, and cardiopulmonary bypass was required for complete resection of the tumor because of invasion to the intrapericardial pulmonary artery. Preoperative pathological diagnosis of mediastinal paraganglioma by biopsy is dangerous due to bleeding, and should be avoided.
authors.affiliation: Division of Surgery, Asahi General Hospital, Asahi, Chiba, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Matsumoto
authors.forename: Nobutaka
authors.initials: N
authors.lastname: Tanaka
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Yoshida
authors.forename: Tetsushi
authors.initials: T
authors.lastname: Yamamoto
mesh_terms: D001706:Biopsy; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D005260:Female; D019788:Fluorodeoxyglucose F18; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D009361:Neoplasm Invasiveness; D010236:Paraganglioma, Extra-Adrenal / Q000473:pathology / Q000601:surgery*; D010496:Pericardium / Q000473:pathology / Q000601:surgery*; D049268:Positron-Emission Tomography; D011237:Predictive Value of Tests; D011651:Pulmonary Artery / Q000473:pathology / Q000601:surgery; D019275:Radiopharmaceuticals; D056346:Sternotomy; D016896:Treatment Outcome
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18
keywords: Cardiopulmonary bypass; X-ray computed; magnetic resonance imaging; mediastinal neoplasms; paraganglioma; tomography