Open Access
CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2019; 08(01): e30-e32
DOI: 10.1055/s-0039-1697602
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Triple-Rule-Out Computed Tomography Scanning for the Diagnosis of a Mediastinal Tumor

Dritan Useini
1   Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bochum, Germany
,
Zulfugar Taghiyev
1   Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bochum, Germany
,
Matthias Bechtel
1   Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bochum, Germany
,
Justus Strauch
1   Department of Cardiothoracic Surgery, Ruhr-University Hospital Bergmannsheil, Bochum, Germany
› Institutsangaben
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Publikationsverlauf

28. Mai 2019

30. Juli 2019

Publikationsdatum:
20. Oktober 2019 (online)

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Abstract

Thymomas are rare tumors that commonly lie in the anterior mediastinum. The arteries supplying thymomas branch from the internal thoracic arteries and their collaterals. This report presents a patient with huge mediastinal thymoma, whose sensational vascularization is ensured directly by a single dominant tributary branch of the left internal thoracic artery. After initially performed computed tomography angiography, the tumor was suspect to be vascularized from the right coronary artery. Triple-rule-out computed tomography scan was a key step for accurate radiologic diagnosis.