case_images: PMC11706107_01
case_images: Contrast-enhanced CT axial section of anterior mediastinal mass post initial chemotherapy and 1st debulking operation (A). Mass at the level of the PA bifurcation and Right Ventricular outflow tract (RVOT) (B). Mass at the level of the carina (C)
case_images: 13019_2024_3318_Fig1_HTML.jpg
case_images: PMC11706107_01_13019_2024_3318_Fig1_HTML.jpg
case_images: Fig1
case_images: Follow-up imaging (Figs. 1 and 2) demonstrated evidence of residual local disease and patient was keen to proceed with redo sternotomy with tumour resection and vascular reconstruction.
case_images: CT-PET axial sections showing avidity of the mass throughout the mediastinum (A). Avidity of the tail of the mass below the subcarina (B)
case_images: 13019_2024_3318_Fig2_HTML.jpg
case_images: PMC11706107_01_13019_2024_3318_Fig2_HTML.jpg
case_images: Fig2
case_images: Follow-up imaging (Figs. 1 and 2) demonstrated evidence of residual local disease and patient was keen to proceed with redo sternotomy with tumour resection and vascular reconstruction.
case_images: Intra-operative images showing the reconstruction of the major venous vasculature (A and B). Blue arrow in panel A indicates the innominate vein graft. Blue arrow in panel B indicates the SVC graft. Blue arrow in panel C indicates the ascending aorta and site of cannulation. Cannulation of the ascending aorta for reconstruction of the right atrium (C). Peri-aortic tissue and superior mediastinal mass being resected (D)
case_images: 13019_2024_3318_Fig3_HTML.jpg
case_images: PMC11706107_01_13019_2024_3318_Fig3_HTML.jpg
case_images: Fig3
case_images: At this point the patient was referred to our centre and underwent a redo operation with residual thymoma resection, reconstruction of the right atrium, superior vena cava, and extra-anatomical bypass from the innominate vein directly to the right atrial appendage (Fig. 3).