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Thorac Cardiovasc Surg 2014; 62(03): 265-269
DOI: 10.1055/s-0031-1295570
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Combined Embolization and Surgical Resection of a Giant Mediastinal Tumor

Feng-yong Liu
1   Department of Interventional Radiology, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
,
Mao-qiang Wang
1   Department of Interventional Radiology, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
,
Feng Duan
1   Department of Interventional Radiology, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
,
Zhi-jun Wang
1   Department of Interventional Radiology, Chinese People’s Liberation Army General Hospital, Beijing 100853, China
› Author Affiliations
Further Information

Publication History

09 May 2011

01 August 2011

Publication Date:
29 December 2011 (online)

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Abstract

Large mediastinal tumors typically have a rich blood supply derived from multiple arteries, and surgical resection can be associated with a large blood loss. Embolization is used to treat a variety of malignant and benign conditions preoperatively, as well as an alternative to surgery, however, the use of preoperative embolization of large mediastinal tumors has not been extensive. Herein, we report a case of a giant mediastinal tumor measuring >15 cm and extending into both chest cavities in which preoperative embolization was used to reduce the surgical blood loss and facilitate excision of the lesion.

Keywords

blood loss - embolization - mediastinal tumor
 

  • References

  • 1 Wright CD, Mathisen DJ. Mediastinal tumors: diagnosis and treatment. World J Surg 2001; 25 (2) 204-209
    CrossrefPubMedGoogle Scholar
  • 2 Robert JH, Sgourdos G, Kritikos N, Didier D, Terraz S. Preoperative embolization of hypervascular Castleman's disease of the mediastinum. Cardiovasc Intervent Radiol 2008; 31 (1) 186-188
    CrossrefPubMedGoogle Scholar
  • 3 Puma F, Cardini CL, Passalacqua G, Ragusa M. Preoperative embolization in surgical management of giant thoracic sarcomas. Eur J Cardiothorac Surg 2008; 33 (1) 127-129
    CrossrefPubMedGoogle Scholar
  • 4 Mijailovic MZ, Lukic SM, Jankovic SM, Surlan-Popvic K. Arterial embolization of uterine fibroids. J BUON 2010; 15 (4) 704-707
    PubMedGoogle Scholar
  • 5 Schwartz MJ, Smith EB, Trost DW, Vaughan Jr ED. Renal artery embolization: clinical indications and experience from over 100 cases. BJU Int 2007; 99 (4) 881-886
    CrossrefPubMedGoogle Scholar
  • 6 Deshmukh VR, Fiorella DJ, McDougall CG, Spetzler RF, Albuquerque FC. Preoperative embolization of central nervous system tumors. Neurosurg Clin N Am 2005; 16 (2) 411-432, xi
    CrossrefPubMedGoogle Scholar
  • 7 Rehák S, Krajina A, Ungermann L , et al. The role of embolization in radical surgery of renal cell carcinoma spinal metastases. Acta Neurochir (Wien) 2008; 150 (11) 1177-1181, discussion 1181
    CrossrefPubMedGoogle Scholar
  • 8 Ganguli S, Stecker MS, Pyne D, Baum RA, Fan CM. Uterine artery embolization in the treatment of postpartum uterine hemorrhage. J Vasc Interv Radiol 2011; 22 (2) 169-176
    CrossrefPubMedGoogle Scholar
  • 9 Akamatsu N, Sugawara Y, Komagome M , et al. Giant liver hemangioma resected by trisectorectomy after efficient volume reduction by transcatheter arterial embolization: a case report. J Med Case Reports 2010; 4: 283
    CrossrefPubMedGoogle Scholar
  • 10 Liu H, Zhu S. Present status and future perspectives of preoperative portal vein embolization. Am J Surg 2009; 197 (5) 686-690
    CrossrefPubMedGoogle Scholar
  • 11 Loffroy R, Guiu B, Cercueil JP, Krausé D. Endovascular therapeutic embolisation: an overview of occluding agents and their effects on embolised tissues. Curr Vasc Pharmacol 2009; 7 (2) 250-263
    CrossrefPubMedGoogle Scholar