A Case Report on Anesthesia Management of a Giant Thymoma Excision with a Lateral Thoracotomy Approach
Kiran K George, Krishnan B Sivaram, Jini Thomas
Keywords :
Case report, Giant thymoma, Mediastinal mass syndrome, Posterolateral thoracotomy
Citation Information :
George KK, Sivaram KB, Thomas J. A Case Report on Anesthesia Management of a Giant Thymoma Excision with a Lateral Thoracotomy Approach. Panam J Trauma Crit Care Emerg Surg 2024; 13 (1):62-65.
Giant thymomas pose a challenge to surgeons and anesthetists alike due to their size and proximity to vessels and organs. Here we would like to report on the anesthetic management of a case of giant thymoma. This 51-year-old lady presented with left-sided pectoralgia and progressive breathlessness of 4 months duration. Computed tomography (CT) thorax showed a large defined heterogeneously enhancing mass lesion {[180 mm [craniocaudal (CC)] × 142 mm [transverse (TR)] × 152 mm [anteroposterior (AP)]} in the left anterior, middle, and posterior mediastinum extending to the left thoracic cavity displacing the mediastinum to the right side with no obvious invasion of adjacent structures. This giant thymoma was entirely resected under general anesthesia with adequate preparations using a left posterolateral thoracotomy surgical approach.
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