Removal of a large symptomatic retrocardiac mediastinal lipoma.
J Surg Case Rep
; 2024(5): rjae273, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38706489
ABSTRACT
Large mediastinal lipomas are rare. Complete surgical resection can be difficult due to the intricate anatomy in the mediastinum. We report the case of a 75-year-old man with worsened retrosternal pressure, decline in performance and syncope episodes. Computed tomography revealed a large retrocardiac low-attenuated mediastinal lesion measuring 10 × 8 cm, compressing the left atrium and pulmonary veins bilaterally. Surgical exploration was achieved through a right anterolateral thoracotomy with a successful en bloc resection without any intraoperative complications. The total operation time was 185 min with a total blood loss of <250 ml. Stand-by extracorporeal life support was present throughout the procedure, but its use was not required. The postoperative course was uneventful. The pathological examination revealed a mature mediastinal lipoma without any evidence of malignancy. In the 12-month control the patient was completely free of symptoms and in a good general condition.
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MEDLINE
Idioma:
En
Revista:
J Surg Case Rep
Ano de publicação:
2024
Tipo de documento:
Article
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Chipre