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Images in Cardiothoracic Surgery

Harlequin Syndrome

First General Surgery Unit, Department of Surgery, Catholic University of Rome, Rome, Italy

^_* Address correspondence to Dr Biondi, General Surgery Unit, Department of Surgery, Catholic University of Rome, Largo A. Gemelli 8, Rome, 00167, Italy (Email: biondi.alberto@tiscali.it).

The first 20% of the full text of this article appears below.

In January 2007 a 72-year-old man sought a surgical opinion for a right axillary and supraclavear lymph node enlargement. The patient had a history of right pneumonectomy for squamous non-small cell lung cancer (NSCLC) with subsequent chemoradiotherapy performed 18 years before, in 1989.

A computed tomography scan revealed enlarged and hypodense axillary and supraclavear lymph nodes, the latter located between the common carotid artery and the internal jugular vein anteriorly, and the subclavian artery posteriorly (Fig 1A, arrowheads). A high standard uptake value was shown on 18-fluoro-deoxyglucose positron emission tomography scans . . . [Full Text of this Article]