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Case Reports

Radical Excision of Thymic Adenocarcinoma with Selective Cerebral Perfusion

^a Department of Thoracic Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan
^b Department of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan
^c Department of Pathology, Saiseikai Kumamoto Hospital, Kumamoto, Japan

Accepted for publication October 23, 2007.

^_* Address correspondence to Dr Yoshioka, Department of Thoracic Surgery, Saiseikai Kumamoto Hospital, Chikami 5-3-1, Kumamoto, 861-4193, Japan (Email: masakazu-yoshioka{at}saiseikaikumamoto.jp).

Most cases of thymic carcinoma have some invasion to neighboring organs when diagnosed, and it is generally difficult to completely remove. We adopted selective cerebral perfusion as a cerebral protection and successfully performed resection of a thymic adenocarcinoma that involved the superior vena cava, left brachiocephalic vein, right brachiocephalic artery and vein, and left common carotid artery in a 47-year-old woman. Even if multiple great vessels were involved by mediastinal malignant tumor, complete resection with selective cerebral perfusion could be safely performed.