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Ann Thorac Surg 2007;84:1027-1029
© 2007 The Society of Thoracic Surgeons

Case Reports

One-Stage Excision of Massive Cervicomediastinal Lymphangioma in the Newborn

Denis A. Cozzi, MDa,*, Augusto Zani, MDa, Giuseppe d’Ambrosio, MDa, Antonietta Piserà, MDa, Mario Roggini, MDb, Francesco Cozzi, MDa

a Pediatric Surgery Unit, Policlinico Umberto I, University of Rome "La Sapienza," Rome, Italy
b Pediatric Radiology Unit, Policlinico Umberto I, University of Rome "La Sapienza," Rome, Italy

Accepted for publication April 26, 2007.

* Address correspondence to Dr Cozzi, Pediatric Surgery Unit, University of Rome "La Sapienza," Policlinico Umberto I, Viale Regina Elena, 324, Rome, 00161, Italy (Email: da.cozzi{at}uniroma1.it).

We report the first neonate successfully treated with one-stage complete excision of massive cervicomediastinal lymphangioma producing alarming respiratory distress. Early postoperative course was complicated by refractory bilateral chylothorax, which effectively responded to insertion of external pleuroperitoneal shunts. At the 6-year follow-up, the child remains symptom free and recurrence free. One-stage resection for cervicomediastinal lymphangioma is curative and well tolerated even shortly after birth.






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