Trimodality Therapy for an Advanced Thymic Carcinoma With Both Aorta and Vena Cava Invasion Tohru Momozane, MD, Masayoshi Inoue, MD, PhD, Yasushi Shintani, MD, PhD, Soichiro Funaki, MD, PhD, Tomohiro Kawamura, MD, PhD, Masato Minami, MD, PhD, Yukitoshi Shirakawa, MD, PhD, Toru Kuratani, MD, PhD, Yoshiki Sawa, MD, PhD, Meinoshin Okumura, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages e139-e141 (August 2016) DOI: 10.1016/j.athoracsur.2016.01.014 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
Fig 1 Radiographic images before and after preoperative treatment. (A) Chest computed tomographic scan showing anterior mediastinal tumor, 84 × 60 mm, invading the aorta and superior vena cava. (B) Size of tumor has decreased to 68 × 60 mm. The Annals of Thoracic Surgery 2016 102, e139-e141DOI: (10.1016/j.athoracsur.2016.01.014) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
Fig 2 Operative findings. (A) The tumor is extirpated by resection of part of the right upper lobe of the lung, bilateral brachiocephalic veins, superior vena cava, and ascending aorta. (B) The ascending aorta and superior vena cava and the left brachiocephalic vein have been reconstructed during circulatory arrest by use of cardiopulmonary bypass. The Annals of Thoracic Surgery 2016 102, e139-e141DOI: (10.1016/j.athoracsur.2016.01.014) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions