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Open Resection of a Mediastinal Paraganglioma
Michael C. Johnson, James E. Speicher, Aundrea L. Oliver, Mark D. Iannettoni, Carlos J. Anciano, Michael J. Bates, Benjamin C. Degner.
East Carolina University, Greenville, NC, USA.

OBJECTIVE: Mediastinal paragangliomas are highly vascularized structures located in the para-aortic ganglia. Complete surgical resection remains the standard of care. Close proximity of the tumor to great vessels and trachea make surgical resection challenging.

METHODS: This video describes the complete resection of a paraganglioma via open approach with cardiopulmonary bypass.
RESULTS: The aforementioned mass was able to be completely excised without complication. Pathology confirmed paraganglioma and noted complete resection. Patient had an uneventful recovery and will continue surveillance although no recurrence has been noted to date.
CONCLUSIONS: Paragangliomas represent rare tumors of the mediastinum. Location and high vascularity represent a challenge for the thoracic surgeon. Expert understanding of the mediastinal structures and possibility of critical coronary vessel involvement is crucial to safe and complete resection.


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