Bronchial Artery Embolization for a Mediastinal Aortopulmonary Paraganglioma Safe Resection: A Case Report

Figures

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  Figure 1. Axial section: mediastinal paraganglioma located between the aorta and the pulmonary artery with dimensions of 39 × 42 mm.

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  Figure 2. Coronal section: mediastinal paraganglioma with arterial vessel dependent on the left bronchial artery.

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  Figure 3. Trunk of the left bronchial artery as the main afferent of the mediastinal lesion (paraganglioma).

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  Figure 4. Hypervascularized mediastinal paraganglioma with contrast medium uptake in angiography.

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  Figure 5. Mediastinal paraganglioma lesion, final angiographic control with digital subtraction, with adequate endovascular devascularization.

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  Figure 6. Tomographic coronal section, 27 days posterior a embolización, con visualización de áreas de necrosis central.

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  Figure 7. Axial section, tomographic control 27 days after embolization, with evidence of areas of central necrosis.

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  Figure 8. Surgical resection of mediastinal lesion (sternotomy approach), ascending aorta (equis), paraganglioma (arrow), and heart (arrowhead).

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  Figure 9. Surgical specimen: resection of a mediastinal paraganglioma by median sternotomy.