V-A ECMO: venous-artery extracorporeal membrane oxygenation FISH: fluorescence in situ hybridization Central message (199/200) An infant presented respiratory failure led by a mediastinal tumor invading the trachea, further diagnosed as lipoblastomatosis.Lesion removal and trachea reconstruction were performed successfully.Central picture legend (86/90) CT image showing the mediastinal lesion (*) and its infiltration (#) into the trachea.
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