Role of Surgery After Chemotherapy in B-Cell Lymphoma of Thymus Causing Airway Compression and Right Ventricle Outflow Tract Obstruction Ikram Chaudhry,

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Role of Surgery After Chemotherapy in B-Cell Lymphoma of Thymus Causing Airway Compression and Right Ventricle Outflow Tract Obstruction Ikram Chaudhry, FRCS (CTh), Shoukat Bojal, FRCS, Abduljaleel Poovathumkadavil, FRCRad, Samir S. Amr, MD The Annals of Thoracic Surgery Volume 92, Issue 3, Pages 1120-1122 (September 2011) DOI: 10.1016/j.athoracsur.2011.02.079 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A, B) Computed tomographic (CT) scan of the axial and coronal views showing the mediastinal mass with central necrosis and a soft tissue component, causing compression of the trachea. There is left-sided pleural effusion. (C) Post-chemotherapy CT scan delineates minimal reduction in tumor size and its soft tissue component. Left pleural effusion is not seen anymore. (D) Postoperative CT chest scan revealing complete removal of the mass. The Annals of Thoracic Surgery 2011 92, 1120-1122DOI: (10.1016/j.athoracsur.2011.02.079) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 For the same patient, (A) an echocardiogram parasternal short-axis view showing partially obliterated right ventricular outflow tract (RVOT) and compressed main pulmonary artery (PA). (B) Parasternal short-axis view after the excision of the mass showing relieved RVOT obstruction and main PA back to the original dimensions. (AO = aorta; LA = left atrium; RA = right atrium.) The Annals of Thoracic Surgery 2011 92, 1120-1122DOI: (10.1016/j.athoracsur.2011.02.079) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions