Progressive pulmonary stenosis due to huge mediastinal thymoma
Yükleniyor...
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Society of Cardiology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
A 61-year-old male was presented with shortness of breath,
and there was a mediastinal enlargement in the chest radiography.
Thorax computed tomography (CT) showed an anterior mediastinal
mass with 18×10×12 cm size that pushed the heart and main vascular structures posteriorly (Fig. 1). Positron emission tomography
showed an increased fluorodeoxyglucose uptake. Therefore, a
biopsy was performed, which proved that thymoma Type B2 is present. Although external mild right pulmonary artery (RPA) compression was observed on CT, transthoracic echocardiography (TTE) did
not show a significant gradient. After 9 months, the patient presented
with increased dyspnea and chest pain. The admission CT showed
increased diameters of thymoma (19×12×15 cm), with severe compression on the left atrium (LA) and RPA (Fig. 2). TTE showed an
anteriorly located mass image in the parasternal view that pushed
the heart posteriorly (Fig. 3a), LA compression in the apical views
(Fig. 3b and 3c), and moderate pulmonary stenosis with 48 mm Hg
maximum gradient in the subcostal view, as parasternal short axis
view was poor (Fig. 3d). Surgical excision was planned after chemotherapy by the multidisciplinary team.
Açıklama
Anahtar Kelimeler
Thymoma, Pulmonary stenosis, Mediastinal tumor
Kaynak
Anatolian Journal of Cardiology
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
25
Sayı
7
Künye
Çap, M., Erdoğan, E., Akyüz, A., Çap, N. K. ve Erdur, E. (2021). Progressive pulmonary stenosis due to huge mediastinal thymoma. Anatolian Journal of Cardiology, 25(7), E28-E29.
