case_images: PMC3938044_01
case_images: Computed tomographicscan revealed a large, well-defined, round softtissue density mass in the left brachiocephalic vein, superior vena cava, and right atrium.
case_images: 1477-7819-12-6-1.jpg
case_images: PMC3938044_01_1477-7819-12-6-1.jpg
case_images: F1
case_images: A chest computed tomographic (CT) scan revealed a mass in the middle mediastinum, extending to the SVC and RA (Figure 1).
case_images: A large mass measuring 8 cm x 6 cm x 5 cm in the right atrium.
case_images: 1477-7819-12-6-2.jpg
case_images: PMC3938044_01_1477-7819-12-6-2.jpg
case_images: F2
case_images: A large mass (measuring 8 cm x 6 cm x 5 cm) was seen in the RA with its tail in the atrial septum (Figure 2).
case_images: The superior vena cava and bilateral brachiocephalic vein were reconstructed with an autologous pericardial 'Y' conduit.
case_images: 1477-7819-12-6-3.jpg
case_images: PMC3938044_01_1477-7819-12-6-3.jpg
case_images: F3
case_images: After the left-sided venous drainage had been reestablished, the right BCV was anastomosed to an autologous pericardial 'Y' conduit in the same way (Figure 3).
case_images: Pathologic examination revealed a type B3 thymoma.
case_images: 1477-7819-12-6-4.jpg
case_images: PMC3938044_01_1477-7819-12-6-4.jpg
case_images: F4
case_images: Pathologic examination revealed a type B3 thymoma (Figure 4), which had directly invaded the left BCV, the SVC, and the RA.