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Ann Thorac Surg 2002;73:983-985
© 2002 The Society of Thoracic Surgeons


Case report

Preoperative embolization of a massive solitary fibrous tumor of the pleura

Beatrix Weiss, FRACSa, David A. Horton, FRACS*a

a Department of Cardiothoracic Surgery, St George Hospital, Sydney, Australia

Accepted for publication June 18, 2001.

* Address reprint requests to Dr Horton, Suite 15, Level 4, St George Private Hospital & Medical Centre, 1 South St, Kogarah, NSW, 2217, Australia
e-mail: weissbx{at}usa.net

We report the case of a 69-year-old woman with a massive fibrous tumor of the left hemithorax. Initial attempted removal by median sternotomy was abandoned due to the extremely vascular appearance of the tumor and the inability to gain safe control of the pedicle. Subsequent percutaneous embolization before removal through a left thoracotomy was successful, with little intraoperative blood loss. We recommend preoperative angiography for massive chest tumors that may be vascular and require piecemeal removal for total excision.




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