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November 14, 2021The Journal of the Japanese Association for Chest SurgeryOpen Access

A case of concomitant surgery for invasive thymoma with myasthenia gravis and severe mitral valve regurgitation

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Why the study?

Single-stage surgery via median sternotomy for mediastinal tumors and concomitant cardiac disease is rare.

Population

72-year-old female with severe mitral regurgitation, anterior mediastinal tumor, and myasthenia gravis

Design

Case report

Authors

KMKen MiwaTMTatsuya MiyamotoYSYuhei Saito

Discussion

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Overview

Combined sternotomy feasible for invasive thymoma with valvular disease; leaves open optimal adjuvant strategy.

Structured PICO

P
Population
72-year-old female (n=1) with severe mitral regurgitation, a 57 mm anterior mediastinal tumor (invasive thymoma, B3 type), and myasthenia gravis (MGFA IIB).
I
Intervention
Single-stage surgery: extended thymectomy via median sternotomy with partial resection and reconstruction of the left brachiocephalic vein, followed by mitral valve repair and tricuspid annuloplasty.
O
Outcome
Surgical success and postoperative recovery

Concomitant single-stage surgery for invasive thymoma and severe mitral regurgitation can be performed safely with good short-term outcomes.

Cite This Study

Miwa et al. (2021) studied this question.

synapsesocial.com/papers/6a717cf32163a0a01bc59c04https://doi.org/10.2995/jacsurg.35.791
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