Radical Operation for Invasive Thymoma With Intracaval, Intracardiac, and Lung Invasion


  • This paper was presented at the 48th annual meeting of Kansai association for thoracic surgery on 16 June, 2005, Ehime, Japan.

Address for correspondence: Yasuhiro Shudo, M.D., Department of Cardiovascular Surgery, Japan Labor Health and Welfare organization, Osaka Rosai Hospital, 1179-3 Nagasone-cho Sakai, Osaka 591-8025, Japan. Fax: 81-72-255-3349; e-mail: yasuhiro-shudo@s5.dion.ne.jp


Abstract  We report a rare case of invasive type AB thymoma (WHO classification system) with intracaval and intracardiac extension into the right atrium. A cardiopulmonary bypass facilitated an en bloc excision of the tumor with a lobectomy, along with a combined resection of the right atrium and reconstruction of the bilateral brachiocephalic veins and right atrium. Aggressive surgical intervention should be considered in such cases, as long-term prognosis is primarily dependent on a complete resection of the extended thymoma.