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Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression
Symptomatic giant ganglioneuromas with mediastinal compression are rare, complicating its management with significant morbidity and mortality risks. A meticulous multidisciplinary preoperative planning is pivotal in ensuring success. We describe a case of a 30-year-old man with a giant posterior med...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516521/ https://www.ncbi.nlm.nih.gov/pubmed/37746526 http://dx.doi.org/10.1093/jscr/rjad524 |
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author | Amir, Muhammad Abid Isahak, Mohamed Izzad Adnan, Isqandar Dimon, Mohd Zamrin |
author_facet | Amir, Muhammad Abid Isahak, Mohamed Izzad Adnan, Isqandar Dimon, Mohd Zamrin |
author_sort | Amir, Muhammad Abid |
collection | PubMed |
description | Symptomatic giant ganglioneuromas with mediastinal compression are rare, complicating its management with significant morbidity and mortality risks. A meticulous multidisciplinary preoperative planning is pivotal in ensuring success. We describe a case of a 30-year-old man with a giant posterior mediastinal mass with compression and displacement of the mediastinal structures. Biopsy confirmed a ganglioneuroma and patient underwent excision. Surgery was challenging in view of the size and adherence to the local structures. Haemodynamic instabilities were encountered necessitating a pre-emptive femoral-femoral cannulation for CPB. A piece-meal debulking of the tumour was performed, complicated with massive haemorrhage requiring autologous blood transfusion using an intraoperative blood salvage device. The patient recovered and was discharged home well at Day 8. A thorough pre-operative planning involving a multidisciplinary approach, an understanding of the surgical anatomy as well as anticipating impending complications is of paramount importance in the management of this particular case. |
format | Online Article Text |
id | pubmed-10516521 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-105165212023-09-23 Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression Amir, Muhammad Abid Isahak, Mohamed Izzad Adnan, Isqandar Dimon, Mohd Zamrin J Surg Case Rep Case Report Symptomatic giant ganglioneuromas with mediastinal compression are rare, complicating its management with significant morbidity and mortality risks. A meticulous multidisciplinary preoperative planning is pivotal in ensuring success. We describe a case of a 30-year-old man with a giant posterior mediastinal mass with compression and displacement of the mediastinal structures. Biopsy confirmed a ganglioneuroma and patient underwent excision. Surgery was challenging in view of the size and adherence to the local structures. Haemodynamic instabilities were encountered necessitating a pre-emptive femoral-femoral cannulation for CPB. A piece-meal debulking of the tumour was performed, complicated with massive haemorrhage requiring autologous blood transfusion using an intraoperative blood salvage device. The patient recovered and was discharged home well at Day 8. A thorough pre-operative planning involving a multidisciplinary approach, an understanding of the surgical anatomy as well as anticipating impending complications is of paramount importance in the management of this particular case. Oxford University Press 2023-09-20 /pmc/articles/PMC10516521/ /pubmed/37746526 http://dx.doi.org/10.1093/jscr/rjad524 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Amir, Muhammad Abid Isahak, Mohamed Izzad Adnan, Isqandar Dimon, Mohd Zamrin Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression |
title | Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression |
title_full | Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression |
title_fullStr | Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression |
title_full_unstemmed | Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression |
title_short | Operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression |
title_sort | operative challenges in a gigantic ganglioneuroma of the posterior mediastinum with mediastinal compression |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516521/ https://www.ncbi.nlm.nih.gov/pubmed/37746526 http://dx.doi.org/10.1093/jscr/rjad524 |
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