| Thymoma concomitant with a right aortic arch. | |
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MedLine Citation:
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PMID: 20058141 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 63-year-old woman was referred to our hospital because screening had detected an anterior mediastinal tumor with a right aortic arch. She underwent typical total thymectomy via a median sternotomy but developed left recurrent laryngeal nerve (RLN) palsy postoperatively. The pathology examination revealed that the tumor was a stage I thymoma. This is the first report of a thymoma with a right aortic arch. The left RLN goes around the left ductus arteriosus, which connects the origin of the left subclavian artery to the left pulmonary artery. The RLN was likely to be injured in the neighborhood of the left ductus arteriosus when the tumor and thymus were dissected over the pulmonary artery. During operations for an anterior mediastinal tumor with a right aortic arch, we should be attentive to the location of the tumor, the left ductus arteriosus, and the left RLN. |
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Authors:
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Norihisa Ohata; Noriyasu Usami; Tetsuo Taniguchi; Kohei Yokoi |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-01-09 |
Journal Detail:
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Title: General thoracic and cardiovascular surgery Volume: 58 ISSN: 1863-6713 ISO Abbreviation: Gen Thorac Cardiovasc Surg Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-01-08 Completed Date: 2010-03-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101303952 Medline TA: Gen Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 36-8 Citation Subset: IM |
Affiliation:
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Division of Thoracic Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aorta, Thoracic
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abnormalities*,
radiography Aortography / methods Female Humans Middle Aged Neoplasm Staging Sternotomy Thymectomy / adverse effects* Thymoma / pathology, radiography, surgery* Thymus Neoplasms / pathology, radiography, surgery* Tomography, X-Ray Computed Treatment Outcome Vocal Cord Paralysis / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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