Tumor Encasement of the Right Coronary Artery - Role of Anat
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Case

The first case is a 55-year-old woman with mild chest discomfort over several years due to a long-standing history of B3 thymoma. The patient underwent complete tumor resection followed by radiotherapy 12 years ago. She had a tumor recurrence with mediastinal and pericardial invasion and metastasis to both lungs and left subclavian node 7 years ago and she received radical anterior mediastinal resection, as well as resection of the pericardial metastases followed by chemotherapy and radiotherapy. A drug eluting stent was implanted in the RCA due to an incidental injury of the vessel during resection of the pericardial metastasis.

Non-gated multi-detector coronary computed tomo-graphy angiography was performed which visualized the thymoma in the anterior mediastinum, involving the middle and distal RCA . Despite the tumor encasement, the RCA remained patent . Fluoroscopic coronary angiography was subsequently performed to further confirm the patencyof RCA . The patient underwent a debulking surgery to remove as much of the mass as possible while avoiding injuring the RCA. She recovered uneventfully from the surgery and was discharged home with a recommendation of regular follow-up....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241555/
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