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Shozo Fujino
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Ann Thorac Surg 1998;66:263-264
© 1998 The Society of Thoracic Surgeons

Case Reports

Reconstruction of the aortic arch in invasive thymoma under retrograde cerebral perfusion

Shozo Fujino, MDa, Noriaki Tezuka, MDa, Shoji Watarida, MDa, Kazuhiko Katsuyama, MDa, Shuhei Inoue, MDa, Atsumi Mori, MDa

a Second Department of Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan

Accepted for publication February 6, 1998.

Address reprint requests to Dr Fujino, Second Department of Surgery, Shiga University of Medical Science, Seta, Otsu, Shiga 520-2192, Japan
e-mail: (shozo{at}belle.shiga-med.ac.jp)

Extensive en-bloc resection of the aortic arch and anterior wall of the main pulmonary artery was performed in a 46-year-old man with invasive thymoma. The aortic arch was replaced with a Hemashield vascular graft under hypothermic circulatory arrest with retrograde cerebral perfusion. Patch plasty with Xenomedica was performed for the anterior wall of the main pulmonary artery under cardiopulmonary bypass. The patient was treated with postoperative radiotherapy and has remained asymptomatic for 15 months after the operation. An extensive operation is considered necessary to improve the prognosis of invasive thymoma.




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