SEARCH

SEARCH BY CITATION

Keywords:

  • Carotid artery;
  • innominate vein;
  • mediastinal mass;
  • thymoma

Key Clinical Message

  1. Top of page
  2. Key Clinical Message
  3. Introduction
  4. Conflict of Interest

The 3D-computed tomography (CT) image helped to make the operation strategy for the resection of huge thymoma obstruction large mediastinal vessels. Even in the rare situation, preoperatively enhanced 3D-CT image is useful for a safe operation.


Introduction

  1. Top of page
  2. Key Clinical Message
  3. Introduction
  4. Conflict of Interest

A 61-year-old woman without symptoms had a huge mediastinal mass that obstructed the view of the mediastinal cervical vessels in CT scan images (Fig. 1). The chest CT image showing a huge mass located in the mediastinal region between the right brachiocephalic artery (BA) and vein (BV), and left carotid artery (CA) and innominate vein (A). The vessels were obstructed in both (B) lateral and (C) anterior views. The patient underwent resection with left innominate vein ablation, after which the tumor was diagnosed as thymoma type A1.

image

Figure 1. Coronal section of computed tomography (CT) image and 3D-CT image of the huge thymoma: the 3D-CT image helped to make the operation strategy for this operation. Even in the rare situation, preoperatively enhanced 3D-CT image is useful for a safe operation.

Download figure to PowerPoint