Document Detail

Thymoma concomitant with a right aortic arch.
MedLine Citation:
PMID:  20058141     Owner:  NLM     Status:  MEDLINE    
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.
Norihisa Ohata; Noriyasu Usami; Tetsuo Taniguchi; Kohei Yokoi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-09
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  58     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-08     Completed Date:  2010-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  36-8     Citation Subset:  IM    
Division of Thoracic Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
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MeSH Terms
Aorta, Thoracic / abnormalities*,  radiography
Aortography / methods
Middle Aged
Neoplasm Staging
Thymectomy / adverse effects*
Thymoma / pathology,  radiography,  surgery*
Thymus Neoplasms / pathology,  radiography,  surgery*
Tomography, X-Ray Computed
Treatment Outcome
Vocal Cord Paralysis / etiology*

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