scholarly journals Primary malignant teratoma of the mediastinum with poor outcome: A case report

2018 ◽  
Vol 75 (8) ◽  
pp. 836-840
Author(s):  
Danica Sazdanic-Velikic ◽  
Dusan Skrbic ◽  
Djordje Povazan ◽  
Mirna Djuric ◽  
Dejan Vuckovic ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Ct Scan ◽  
Superior Vena ◽  
Germ Cell Tumors ◽  
Disease Patient ◽  
Vena Cava ◽  
Whole Body ◽  
Malignant Teratoma ◽  
Mediastinal Tumors

Introduction. About 5%?10% of mediastinal tumors in adults are teratomas and about 85% of them are benign. Case report. We report a case of extragonadal malignant teratoma in a 39-year old man. The computed tomography (CT) scan of the chest revealed the soft-tissue density mass in the middle lobe of the lung. The posterolateral thoracotomy was performed and a mediastinal tumor of 25 cm was completely resected. Histopathological findings confirmed malignant teratoma. One month after the resection the positron emission tomography- computed tomography (PET/CT) scan of the whole body was performed and showed progression of the disease. Patient developed signs of the superior vena cava obstruction and received radiotherapy of the mediastinum and the metastatic lesion of the lumbal vertebra. After radiotherapy, the patient developed paraplegia and urinary incontinence and received the best supportive treatment. Conclusion. Primary extragonadal germ cell tumors have poor prognosis due to their relative chemoresistance and frequent findings of advanced disease after establishing the diagnosis.

scholarly journals Giant Interatrial Septal Lipoma Filling the Right Atrium Causing Slight Symptoms: A Case Report

2021 ◽  
Vol 24 (6) ◽  
pp. E947-E949
Author(s):  
Mingxiang Chen ◽  
Fuping Li ◽  
Haitao Zhang ◽  
Zhuyun Qin
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Right Atrium ◽  
Superior Vena ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Illustrative Case ◽  
Cardiac Lipoma ◽  
The Right ◽  
Almost All

Cardiac lipoma is extremely rare. Here, we present a unique illustrative case of an interatrial septal lipoma protruding into the right atrium, causing symptoms in a 54-year-old male. Echocardiogram and computed tomography showed a well-shaped, giant, and fixed mass located in the interatrial septum and right atrium. The only manifestation was palpitation, though the mass filled almost all of the atrium and compressed the superior vena cava. The patient received resection of the large-sized lipoma, which was 87mm in diameter and weighed 300-400g. Pathological exam demonstrated mature lipocytes and substantiated the diagnosis of lipoma. The patient did well postoperatively, and symptoms were resolved.

scholarly journals Case report. Multiple Mediastinal Arteriovenous Fistulas in a Patient with Myocardial Ischemia Symptoms and Tachy-Brady Arrhythmias

2017 ◽  
Vol 3 (1) ◽  
pp. 44-47
Author(s):  
István Kovács ◽  
Sebastian Condrea ◽  
Ioana Rodean ◽  
Daniel Cernica
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Angina Pectoris ◽  
Myocardial Ischemia ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Arteriovenous Fistulas ◽  
Arteriovenous Shunts ◽  
Multiple Episodes

AbstractArteriovenous fistulas are abnormal vascular communications between the arterial and venous system and may lead to the development of arteriovenous shunts. These malformations are extremely rare, and their diagnosis can be difficult due to the lack of symptoms or the absence of hemodynamic consequences. In many cases, arteriovenous fistulas are discovered by chance. In this brief report, we present the case of a 31-year-old male with symptoms suggestive of angina pectoris, tachycardia-bradycardia syndrome and multiple episodes of syncope. Multi-slice computed tomography revealed the presence of multiple mediastinal fistulas connecting the aorta, superior vena cava, pulmonary veins and azygos system.

scholarly journals Giant Interatrial Septal Lipoma Filling with Right Atrium Causing Slight Symptoms: A Case Report

2021 ◽  
Author(s):  
Mingxiang Chen ◽  
Fuping Li ◽  
Haitao Zhang ◽  
Zhuyun Qin
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Right Atrium ◽  
Superior Vena ◽  
Vena Cava ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Illustrative Case ◽  
Cardiac Lipoma ◽  
Almost All

Cardiac lipoma is extremely rare. Here we presented a unique illustrative case of interatrial septal lipoma protruding into right atrial causing symptoms in a 54-year-old male. Echocardiogram and computed tomography showed a well-shaped, giant and fixed occupying located in interatrial septum and right atrium. The only manifestation was palpitation though the mass filled almost all atrium and compressed superior vena cava. The patient received resection of the large-sized lipoma sizing 87mm in diameter and weighing ~1000g. Pathological exam demonstrated mature lipocytes and substantiated the diagnosis of lipoma. The patient did well postoperatively and symptoms were resolved.

Acquired systemic-to-pulmonary shunts in a 6-month-old child: case report and review of the literature

2020 ◽  
Vol 30 (3) ◽  
pp. 427-430
Author(s):  
Oscar Werner ◽  
Caroline Ovaert ◽  
Pascal Amedro
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Collateral Flow ◽  
Review Of The Literature ◽  
Transcatheter Intervention ◽  
The Past ◽  
Shunt Occlusion

AbstractThe incidence of paediatric venous thromboembolism has steadily increased in the past decade, by nearly 10% per year. Deep venous thrombosis may remain completely asymptomatic during the acute phase and symptoms may occur later, due to complications. We related the case of a 9-month-old child with increasing cyanosis. A computed tomography (CT) angiography showed a thrombosis of the superior vena cava (SVC) with the development of collateral flow from the systemic to the pulmonary veins. Transcatheter shunt occlusion after SVC recanalization was successfully performed. We discussed the characteristics of these cases and the consequence on our practice in term of treatment (anticoagulation, transcatheter, intervention) and screening.

scholarly journals Slow-Growing Mature Mediastinal Teratoma: Case Report

2020 ◽  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Superior Vena ◽  
Mature Teratoma ◽  
Vena Cava ◽  
Benign Tumors ◽  
Mediastinal Teratoma ◽  
Life Threatening ◽  
The Right ◽  
Slow Growing

This report describes the case of a 39-year-old man with a mediastinal teratoma. For seven years the patient had been suffering a dyspnea on exertion. In the last few weeks, the dyspnea increased and new symptoms appeared such as dry cough, chest pain and palpitations. Computed tomography revealed a medium-sized tumor that was markedly compressing the superior vena cava and the right atrium. Surgery was performed, and a benign mature teratoma was diagnosed. Mature mediastinal teratomas are benign tumors, but they can be adherent to collateral structures in the chest leading to life threatening complications.

Right to Left Shunt as a Collateral Circulation in a Patient with Superior Vena Cava Syndrome: A Case Report

1999 ◽  
Vol 41 (1) ◽  
pp. 79 ◽  
Author(s):  
Young Sun Kim ◽  
Seok Chol Jeon ◽  
Won Jin Moon ◽  
Yo Won Choi ◽  
Heung Suk Seo ◽  
...  
Keyword(s):  
Case Report ◽  
Superior Vena Cava ◽  
Collateral Circulation ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Vena Cava Syndrome

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

Persistent left superior vena cava and its clinical implications: case report and literature review

2020 ◽  
Vol 7 (5) ◽  
pp. 130-132
Author(s):  
José Aderval Aragão ◽  
Iapunira Catarina Sant’Anna Aragão ◽  
Felipe Matheus Sant’Anna Aragão ◽  
Paôla Cardoso ◽  
Fernanda Pimentel Cavaliere de Barros ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Clinical Implications ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena
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