Key result
Transaortic surgical resection enables successful removal of rare, challenging aorticopulmonary paragangliomas.
Why the study?
Aorticopulmonary paraganglioma is an extremely rare and highly vascular tumor in the aortopulmonary window, making surgical resection technically challenging and high risk.
Case Report
This case report describes the surgical resection of an extremely rare aorticopulmonary paraganglioma via a transaortic approach.
Transaortic resection may inform planning for this rare tumor; single case leaves open generalizability and outcomes.
Aorticopulmonary paraganglioma (APP) is an extremely rare tumor arising in the aortopulmonary window of the middle mediastinum. Although many mediastinal paragangliomas are nonfunctional, some may secrete catecholamines and cause perioperative hemodynamic instability. Complete surgical resection is considered the standard treatment for localized disease; however, resection is technically challenging and associated with high risk of bleeding because these tumors are highly vascular and often surrounded by critical structures, including the aorta, pulmonary artery (PA), heart, and trachea.
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Sugino et al. (2026) conducted a case report in Aorticopulmonary paraganglioma. Transaortic surgical resection was evaluated. Surgical resection of an aorticopulmonary paraganglioma via a transaortic approach is described for this rare and technically challenging tumor.
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