Lee Hee Moon, Jeong Dong Seop, Park Pyo Won, Kim Wook Sung, Sung Kiick, Lee Young Tak
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Heart Surg Forum. 2012 Jun;15(3):E170-1. doi: 10.1532/HSF98.20111173.
A 54-year-old man was referred to our institution with hemoptysis and hoarseness of 1 year's duration. A computed tomography (CT) scan showed an anterior mediastinal mass (2.5 cm x 1.0 cm), which was diagnosed as thymoma. The tumor was resected under a sternotomy. The tumor had invaded the anterior wall of the ascending aorta. With the patient under cardiopulmonary bypass, the aortic wall invaded by the mass was resected, and arterial reconstruction was performed with patch material. The tumor was revealed to be a tumor of neuronal origin. The patient's postoperative course was uneventful. The patient was discharged on postoperative day 9. One year after the operation, a follow-up chest CT evaluation showed no specific complications or recurrence.
一名54岁男性因咯血和声音嘶哑1年被转诊至我院。计算机断层扫描（CT）显示前纵隔肿块（2.5 cm×1.0 cm），诊断为胸腺瘤。在胸骨切开术下切除肿瘤。肿瘤侵犯了升主动脉前壁。在患者接受体外循环时，切除受肿块侵犯的主动脉壁，并用补片材料进行动脉重建。结果显示该肿瘤为神经源性肿瘤。患者术后恢复顺利。术后第9天出院。术后1年，胸部CT随访评估未发现特殊并发症或复发。
