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Ann Thorac Surg 2001;71:370-372
© 2001 The Society of Thoracic Surgeons

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Case report

Ruptured thymoma causing mediastinal hemorrhage resected via partial sternotomy

^a Second Department of Surgery and Department of Radiology, Kagoshima University Faculty of Medicine, Kagoshima, Japan

Accepted for publication April 3, 2000.

Address reprint requests to Dr Shimokawa, Second Department of Surgery, Kagoshima University Faculty of Medicine, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan
e-mail: simokawa{at}med6.kufm.kagoshima-u.ac.jp

A case of a ruptured thymoma causing mediastinal hemorrhage and hemothorax that was electively resected by a partial sternotomy approach is presented. This case and others previously reported illustrate that a sudden onset of dyspnea and chest pain accompanied by acute mediastinal widening on chest roentgenogram in a previously healthy patient should suggest the diagnosis of a ruptured thymoma. An upper part sternotomy approach may be as safe and effective as a less invasive surgical procedure in resection of noninvasive thymomas, even if dense tumor adhesion exists.

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