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  • Title: Surgical treatment of an invasive thymoma extending into the superior vena cava and right atrium.
    Author: Dong YQ, Liang JS, Zhang XM, Zhu SB, Xu JH, Ji T, Yin GL.
    Journal: World J Surg Oncol; 2014 Jan 08; 12():6. PubMed ID: 24400724.
    Abstract:
    Although invasive thymoma commonly infiltrates neighbouring mediastinal structures, its extension into the superior vena cava (SVC) and consequent SVC occlusion are rare. In such cases, the urgent removal of the thymoma and radical resection of the infiltrated SVC representreasonable options, since induction therapy is time-consuming and useless for symptom resolution. A case of invasive thymoma extending into the SVC and right atrium (RA) with SVC syndrome is reported. The patient underwent a combined resection of the invasive tumor and SVC under cardiopulmonary bypass (CPB), and the SVC and bilateral brachiocephalic vein (BCV) were reconstructed with an autologous pericardial 'Y' conduit. After 40 months of follow-up, the patient showed a patent graft and no tumor recurrence.
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