Thoracoscopic resection of a giant teratoma compressing the right heart

Luke Rothermel, Robert Gilkeson, Alan H. Markowitz, Carsten Schroeder

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

A 26-year old female had an incidental finding of a cystic mediastinal mass (10.8 × 9.4 × 10.0 cm) in the inferior-anterior mediastinum. It had compressed the superior vena cava, right atrium and right ventricle, and additional imaging studies could not exclude right heart involvement. She underwent exploration via right thoracoscopy (video-assisted thoracoscopy), and the right groin vessels were isolated for bypass, if needed. Examination of the mass revealed its extrapericardial origin from the thymus. Complete resection was achieved with minimally invasive techniques through a 2.5-cm incision using a three-port approach. She was discharged on postoperative day one. The interdisciplinary planning and cooperation in this case avoided thoracotomy or sternotomy and allowed for a safe and complete minimally invasive resection.

Original languageEnglish (US)
Pages (from-to)594-597
Number of pages4
JournalInteractive Cardiovascular and Thoracic Surgery
Volume17
Issue number3
DOIs
StatePublished - Sep 1 2013

Fingerprint

Thoracoscopy
Teratoma
Incidental Findings
Superior Vena Cava
Sternotomy
Groin
Mediastinum
Thoracotomy
Heart Atria
Thymus Gland
Heart Ventricles

Keywords

  • Anaesthesia ('awake' intubation)
  • Cardiopulmonary bypass
  • Mediastinal tumour (teratoma)
  • Thoracoscopy/video-assisted thoracoscopy

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Thoracoscopic resection of a giant teratoma compressing the right heart. / Rothermel, Luke; Gilkeson, Robert; Markowitz, Alan H.; Schroeder, Carsten.

In: Interactive Cardiovascular and Thoracic Surgery, Vol. 17, No. 3, 01.09.2013, p. 594-597.

Research output: Contribution to journalArticle

Rothermel, Luke ; Gilkeson, Robert ; Markowitz, Alan H. ; Schroeder, Carsten. / Thoracoscopic resection of a giant teratoma compressing the right heart. In: Interactive Cardiovascular and Thoracic Surgery. 2013 ; Vol. 17, No. 3. pp. 594-597.
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