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Eur J Cardiothorac Surg 2003;24:662-664
© 2003 Elsevier Science NL


Case report

Mediastinal paraganglioma irrigated by coronary vessels in a patient with an atypical chest pain

J. Pac-Ferrera*, N. Uribe-Etxebarriab, J.C. Rumberoa, E. Castellanosc

a Thoracic Surgery Service, Clínica Vicente San Sebastián, Bilbao, Spain
b Thoracic Surgery Service, Hospital de Cruces, Baracaldo, Spain
c Cardiovascular Service, Clínica Vicente San Sebastián, Bilbao, Spain

Received 17 March 2003; received in revised form 22 May 2003; accepted 31 May 2003.

* Corresponding author. Thoracic Surgery Service, Hospital de Cruces, Plaza de Cruces s/n, 48093 Barakaldo, Vizcaya, Spain
e-mail: secretaria.toracica{at}hcru.osakidetza.net

We present a case of non-functioning anterior mediastinal paraganglioma in a 61-year-old woman. The tumour was accidentally discovered on a coronary angiography performed in an atypical precordial pain and dyspnea. The coronary angiography showed a vascular tumour in the paraaortic localization irrigated from two branches of coronary arteries. Diagnosis was confirmed by a thoracic tomographic scan which revealed an anterior mediastinal tumour. Complete tumour resection was done through a sternotomy with extracorporeal circulation without cardiac arrest. The histological examination of the operative specimen was characteristic of paraganglioma.

Key Words: Mediastinal paraganglioma • Surgical considerations • Diagnostic aspects • Cororonary vessels irrigation




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