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Ann Thorac Surg 2005;79:1052-1054
© 2005 The Society of Thoracic Surgeons

Case report

Resection of a Thoracic Duct Lymphangioma Using Video-Assisted Thoracoscopic Surgery

Joseph C. Moran, MD*,a, Jean-Philippe Bocage, MD, FACSa, Robert J. Caccavale, MD, FACSa

a Department of Thoracic Surgery and The Minimally Invasive Learning Center, Saint Peter's University Hospital, New Brunswick, New Jersey, USA

Accepted for publication September 18, 2003.

* Address reprint requests to Dr Moran, Department of Surgery, Saint Peter's University Hospital, 254 Easton Ave, New Brunswick, NJ 08901, USA
triathlete70{at}hotmail.com

Thoracic duct lymphangioma is a rare mediastinal tumor. Most patients are asymptomatic. Symptoms may include dysphagia, dyspnea, cough, or chest pain. Workup may include chest computed tomography or lymphangiography, or both. Surgery should be considered the treatment of choice. We present a 60-year-old man with a 2.4-cm mass in the retro-cardiac space to the right of the esophagus. The patient underwent a thoracoscopic resection of the mass with ligation of the thoracic duct. We conclude that video-assisted thoracoscopic surgery allows for safe evaluation and resection of mediastinal pathology.






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