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Ann Thorac Surg 2001;72:629-631
© 2001 The Society of Thoracic Surgeons

How to do it

Double transmanubrial approach and sternotomy for resection of a giant thymic carcinoid tumor

Lorenzo Spaggiari, MD, PhDa, Ugo Pastorino, MDa

a Department of Thoracic Surgery, European Institute of Oncology, Milan, Italy

Accepted for publication March 27, 2001.

Address reprint requests to Dr Spaggiari, Department of Thoracic Surgery, European Institute of Oncology, Via Ripamonti 435, 20141, Milan, Italy
e-mail: lorenzo.spaggiari{at}ieo.it

The transmanubrial approach allows excellent unilateral exposure of the thoracic outlet. However, selected patients may require a bilateral cervicomediastinal exposure to completely resect the neoplasm. We report the use of a "double" transmanubrial approach for the resection of a giant mediastinal mass requiring bilateral vascular dissection and superior vena cava system resection and replacement.




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