Preoperative assessment of thymoma evaluation of mediastinal arterial anatomy by cardiac multidetector computed tomography

Daniele Andreini, Gianluca Pontone, Luca Dainese, Alberto Formenti, Saima Mushtaq, Antioco Cappai, Mauro Pepi, Giovanni Ballerini, Paolo Biglioli

Research output: Contribution to journalArticle

Abstract

We describe the clinical case of a thymoma, surgically removed after diagnosis, staging, and preoperative assessment performed by means of cardiac electrocardiogram-gated multi-detector computed tomography. This technique allowed a very accurate assessment of the mass, proving superior to conventional computed tomography thanks to the possibility of identifying the relationships of the mass with the mediastinal structures, including the large vessels and coronary arteries. It also established the origin of the arterial vascularization from a tributary branch of the left internal mammary artery, visualizing the pathway and the relationship of the vessel with the mass and the point where it is penetrated. Finally, we analyzed the anatomy and patency of the coronary arteries, essential data in this patient with a high risk of coronary artery disease.

Original languageEnglish
Pages (from-to)31-33
Number of pages3
JournalJournal of Thoracic Imaging
Volume24
Issue number1
DOIs
Publication statusPublished - Feb 2009

Keywords

  • Coronary arteries
  • Multidetector CT
  • Thymoma

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Radiology Nuclear Medicine and imaging

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