scholarly journals Salvage surgery for stage IVa thymic carcinoma combined with aortic arch resection – case report

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Hiroyuki Yamato ◽  
Soichiro Funaki ◽  
Kazuo Shimamura ◽  
Keiwa Kin ◽  
Toru Kuratani ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Thymic Carcinoma ◽  
Salvage Surgery ◽  
Radical Resection ◽  
Left Pulmonary Artery ◽  
Aortic Arch Replacement ◽  
Extended Surgery ◽  
Malignant Pericardial Effusion ◽  
Increased Risk

Abstract Background Although complete surgical resection of thymic carcinoma is a prognostic factor, extended surgery combined with a major blood vessel procedure remains controversial because of the increased risk of mortality. We report a case of Stage IVa thymic carcinoma successfully resected with a pneumonectomy along with aortic arch replacement after chemotherapy. Case presentation A 45-year-old male was diagnosed with thymic carcinoma invasion to the aortic arch and left pulmonary artery. Malignant pericardial effusion was also noted, though disappeared after chemotherapy, thus surgical options were considered. A radical resection procedure including left pneumonectomy, aortic arch replacement with total rerouting of the supra-arch vessels, and right pulmonary artery plication was performed. The postoperative course was uneventful and the patient has been disease-free for 3 years. Conclusion Extended salvage surgery might be a valuable option for advanced thymic carcinoma.

scholarly journals Salvage surgery for Stage IVa thymic carcinoma combined with aortic arch resection-Case report

2020 ◽  
Author(s):  
Hiroyuki Yamato ◽  
Soichiro Funaki ◽  
Kazuo Shimamura ◽  
Keiwa Kin ◽  
Toru Kuratani ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Thymic Carcinoma ◽  
Salvage Surgery ◽  
Radical Resection ◽  
Left Pulmonary Artery ◽  
Aortic Arch Replacement ◽  
Extended Surgery ◽  
Malignant Pericardial Effusion ◽  
Increased Risk

Abstract Background Although complete surgical resection of thymic carcinoma is a prognostic factor, extended surgery combined with a major blood vessel procedure remains controversial because of the increased risk of mortality. We report a case of Stage IVa thymic carcinoma successfully resected with a pneumonectomy along with aortic arch replacement after chemotherapy. Case presentation A 45-year-old male was diagnosed with thymic carcinoma invasion to the aortic arch and left pulmonary artery. Malignant pericardial effusion was also noted, though disappeared after chemotherapy, thus surgical options were considered. A radical resection procedure including left pneumonectomy, aortic arch replacement with total rerouting of the supra-arch vessels, and right pulmonary artery plication was performed. The postoperative course was uneventful and the patient has been disease-free for 3 years. Conclusion Extended salvage surgery might be a valuable option for advanced thymic carcinoma.

scholarly journals Salvage Surgery for Stage IVa Thymic Carcinoma Combined with Aortic Arch Resection, A Case Report

2020 ◽  
Author(s):  
Hiroyuki Yamato ◽  
Soichiro Funaki ◽  
Kazuo Shimamura ◽  
Keiwa Kin ◽  
Toru Kuratani ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Thymic Carcinoma ◽  
Salvage Surgery ◽  
Radical Resection ◽  
Left Pulmonary Artery ◽  
Aortic Arch Replacement ◽  
Extended Surgery ◽  
Malignant Pericardial Effusion ◽  
Increased Risk

Abstract BackgroundAlthough complete surgical resection of thymic carcinoma is a prognostic factor, extended surgery combined with a major blood vessel procedure remains controversial because of the increased risk of mortality. We report a case of Stage IVa thymic carcinoma successfully resected with a pneumonectomy along with aortic arch replacement after chemotherapy. Case presentationA 45-year-old male was diagnosed with thymic carcinoma invasion to the aortic arch and left pulmonary artery. Malignant pericardial effusion was also noted, though disappeared after chemotherapy, thus surgical options were considered. A radical resection procedure including left pneumonectomy, aortic arch replacement with total rerouting of the supra-arch vessels, and right pulmonary artery plication was performed. The postoperative course was uneventful and the patient has been disease-free for 3 years.ConclusionExtended salvage surgery might be a valuable option for advanced thymic carcinoma.

scholarly journals Complete resection of local advanced thymic carcinoma with total aortic arch replacement after chemotherapy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Hidenori Kuno ◽  
Soichiro Funaki ◽  
Kenji Kimura ◽  
Kazuo Shimamura ◽  
Keiwa Kin ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Surgical Resection ◽  
Thymic Carcinoma ◽  
Complete Resection ◽  
Aortic Arch Replacement ◽  
Ct Guided ◽  
Extended Surgery ◽  
Total Aortic Arch Replacement ◽  
Increased Risk ◽  
Local Advanced

Abstract Background Although complete surgical resection of thymic carcinoma is a prognostic factor, it is not always an option for advanced tumors because of locoregional invasion. Extended surgery combined with a major blood vessel procedure remains controversial because of the increased risk of mortality. Case presentation Chest computed tomography (CT) uncovered an abnormal shadow in the mediastinum of a 74-year-old man. An irregularly shaped tumor obstructed the left innominate vein, and invasion of the aortic arch was suspected. A CT-guided percutaneous needle biopsy revealed squamous cell carcinoma of the thymus, which was considered unresectable. The patient underwent chemotherapy elsewhere, then was referred to us for surgical resection. We combined extended surgery with total aortic arch replacement under a cardiopulmonary bypass. Complete resection was achieved, and the patient remains alive without recurrence at 3 years after surgery Conclusion Resection including aortic arch replacement might be an option that can achieve complete resection of local advanced thymic carcinoma.

Anomalous origin of a pulmonary artery in a teenager with tetralogy of Fallot with associated double aortic arch and coronary arteriovenous fistula

2019 ◽  
Vol 29 (5) ◽  
pp. 727-729
Author(s):  
Vishal Agrawal ◽  
Parth Solanki ◽  
Ritesh Shah ◽  
Divyakant Parmar ◽  
Amit Mishra
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Tetralogy Of Fallot ◽  
Vascular Ring ◽  
Right Ventricular Outflow Tract ◽  
Left Pulmonary Artery ◽  
Ventricular Outflow Tract ◽  
Double Aortic Arch ◽  
Anomalous Origin ◽  
Tract Fistula

AbstractWe report the case of a 14-year-old female who had tetralogy of Fallot along with anomalous origin of the left pulmonary artery from the ascending aorta with co-dominant double aortic arch forming a complete vascular ring compressing the oesophagus along with a left main coronary artery to right ventricular outflow tract fistula. She underwent surgical correction without conduit placement.

Two Rare Vascular Rings With Ductal Origin of the Left Pulmonary Artery: A Previously Unrecognized Syndrome?

2016 ◽  
Vol 9 (3) ◽  
pp. 352-356
Author(s):  
Poonam P. Thankavel ◽  
Kristine J. Guleserian ◽  
Robert H. Anderson
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Clinical Course ◽  
Left Pulmonary Artery ◽  
Descending Aorta ◽  
Vascular Rings ◽  
Arterial Duct

We report two neonates with distal ductal origin of the left pulmonary artery who also had rare vascular rings comprised of a left aortic arch and right arterial duct with a midline/rightward descending aorta. To the best of our knowledge, this association has not previously been described, although other abnormalities of the left pulmonary artery in the setting of vascular rings have been reported. We review the embryology, utility of imaging, and clinical course.

scholarly journals Implantation of a stent graft in the right pulmonary artery enables radical resection of a central endothelial sarcoma of the left pulmonary artery

2013 ◽  
Vol 58 (3) ◽  
pp. 787-789
Author(s):  
Pascal Kissling ◽  
Philippe Brosi ◽  
Christof Kull ◽  
Damien Toia ◽  
Christoph Andreas Maurer
Keyword(s):  
Pulmonary Artery ◽  
Stent Graft ◽  
Radical Resection ◽  
Left Pulmonary Artery ◽  
Right Pulmonary Artery ◽  
The Right

Non-confluent pulmonary arteries in a patient with pulmonary atresia and intact ventricular septum: ? a 5th aortic arch with a systemic-to-pulmonary arterial connection

2000 ◽  
Vol 10 (4) ◽  
pp. 419-422 ◽  
Author(s):  
Astolfo Serra ◽  
Francisco Chamie ◽  
R.M. Freedom
Keyword(s):  
Pulmonary Artery ◽  
Aortic Arch ◽  
Pulmonary Arteries ◽  
Pulmonary Atresia ◽  
Left Pulmonary Artery ◽  
Ventricular Septum ◽  
Intact Ventricular Septum ◽  
Right Pulmonary Artery ◽  
Pulmonary Arterial ◽  
The Right

AbstractMajor abnormalities of pulmonary circulation are uncommon in the patient with pulmonary atresia and intact ventricular septum. Non-confluent pulmonary arteries have only rarely been described in this setting. In this case report, we describe a patient in whom the pulmonary arteries are non-confluent, with the right pulmonary artery supplied through a right-sided arterial duct, and the left pulmonary artery most likely through a fifth aortic arch, thus providing a systemic-to-pulmonary arterial connection. We discuss the various forms of non-confluent pulmonary arteries in the setting of pulmonary atresia and intact ventricular septum.

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