The Thoracic & Cardiovascular Surgeon Reports (Jan 2019)

Triple-Rule-Out Computed Tomography Scanning for the Diagnosis of a Mediastinal Tumor

  • Dritan Useini,
  • Zulfugar Taghiyev,
  • Matthias Bechtel,
  • Justus Strauch

DOI
https://doi.org/10.1055/s-0039-1697602
Journal volume & issue
Vol. 08, no. 01
pp. e30 – e32

Abstract

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Thymomas are rare tumors that commonly lie in the anterior mediastinum. The arteries supplying thymomas branch from the internal thoracic arteries and their collaterals. This report presents a patient with huge mediastinal thymoma, whose sensational vascularization is ensured directly by a single dominant tributary branch of the left internal thoracic artery. After initially performed computed tomography angiography, the tumor was suspect to be vascularized from the right coronary artery. Triple-rule-out computed tomography scan was a key step for accurate radiologic diagnosis.

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