Management of a Giant Thoracic Hypervascular Paraspinal Ganglioma

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Management of a Giant Thoracic Hypervascular Paraspinal Ganglioma Muhammad Asghar Nawaz, MRCS, FCPS, Milan Samarage, MBChB, Kevin O'Neill, FRCS, Prakash Punjabi, MS, FRCS The Annals of Thoracic Surgery Volume 93, Issue 1, Pages e7-e8 (January 2012) DOI: 10.1016/j.athoracsur.2011.07.060 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomographic scans of thorax and abdomen. (A) Coronal view, showing large paraganglioma extending from T5 to T9 in close proximity to aorta. (B) Sagittal view, showing left paraganglioma invading and destroying the T7 and T8 vertebral bodies. The Annals of Thoracic Surgery 2012 93, e7-e8DOI: (10.1016/j.athoracsur.2011.07.060) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A). Preembolization spinal angiogram, showing marked tumor neovascularity supplied by left T5 to T7, arterial flow aneurysms, and a large venous aneurysm. Venous drainage is predominantly to azygos system. (B) Postembolization spinal angiogram; fluoroscopy reveals remaining feeder (intercostal) vessel. The Annals of Thoracic Surgery 2012 93, e7-e8DOI: (10.1016/j.athoracsur.2011.07.060) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions