Complete resection of a giant mediastinal mass following coil embolization: a case report

Ekin İlkeli; Şebnem Alibeyoğlu; Ufuk Çiloğlu; Tamer Okay; Sinan Şahin; Sabri Dağsalı

doi:10.5606/tgkdc.dergisi.2015.7657

Ekin İlkeli¹, Şebnem Alibeyoğlu¹, Ufuk Çiloğlu¹, Tamer Okay², Sinan Şahin³, Sabri Dağsalı¹

¹Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi, İstanbul, Türkiye
²Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi, İstanbul, Türkiye
³Siyami Ersek Göğüs Kalp Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, İstanbul, Türkiye

DOI : 10.5606/tgkdc.dergisi.2015.7657

Location of mediastinal giant tumors and adjacency of the tumor to the heart, major vessels and bronchial tree are important for surgery. In this article, we present a complete surgical resection following preoperative coil embolization for vascular invasion of anterior mediastinal originated giant tumor. Partially resected giant mediastinal mass due to bleeding was diagnosed as teratoma and was found that the source of blood supply of tumor was bilateral internal thoracic artery (ITA) and right lateral thoracic artery during angiography six months ago. After coil embolization of bilateral ITA, complete excision was performed. Obtaining a safe and resectable mass by the detection of vascular supply with angiography and application of coil embolization help to achieve curative therapy of the mediastinal tumors.

Keywords : Coil embolization; mediastinum; teratoma

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