Why the study?
Single-stage surgery via median sternotomy for mediastinal tumors and concomitant cardiac disease is rare.
Concomitant single-stage surgery for invasive thymoma and severe mitral regurgitation can be performed safely with good short-term outcomes.
Combined sternotomy feasible for invasive thymoma with valvular disease; leaves open optimal adjuvant strategy.
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Miwa et al. (2021) studied this question.
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