General Thoracic and Cardiovascular Surgery Cases最新文献

{"title":"Simple surgical explant technique for the EDWARDS INTUITY rapid deployment valve: a case report of prosthetic valve endocarditis.","authors":"Hironobu Sakurai, Naonori Kawamoto, Satoshi Kainuma, Kota Suzuki, Takashi Kakuta, Masaya Hirayama, Satsuki Fukushima","doi":"10.1186/s44215-025-00203-8","DOIUrl":"10.1186/s44215-025-00203-8","url":null,"abstract":"<p><strong>Background: </strong>A rapid deployment valve can shorten operation times and improve hemodynamics. However, explantation can be challenging because of the unique structure of such valves, including an inflow frame covered by textured sealing cloth beneath the sewing cuff. In this case, we report a simple explantation technique.</p><p><strong>Case presentation: </strong>This case involved a 79-year-old woman with prosthetic valve endocarditis who had undergone aortic valve replacement with a rapid deployment valve 5 years earlier. Preoperative echocardiography revealed severe mitral regurgitation and a highly mobile mass on the posterior leaflet. The prosthetic valve had thickened cusps without regurgitation. Emergent surgery was performed to explant the prosthetic valve and replace both the aortic and mitral valves through a re-median sternotomy under routine cardiopulmonary bypass support. The textured sealing cuff was detached from the surrounding tissue after separating the rigid outflow portion from the transformable inflow portion by cutting the fabric. No annular or sub-annular damage was observed. Enterococcus faecalis was cultured from the blood. The patient received 6 weeks of antimicrobial therapy and was discharged without symptoms of heart failure or infection.</p><p><strong>Conclusion: </strong>The patient successfully underwent valve explantation and double valve replacement for prosthetic valve endocarditis. This method is safe and feasible for explanting rapid deployment valves with minimal tissue damage.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of radical surgery for primary lung cancer with idiopathic dilatation of the pulmonary artery: a case report.","authors":"Wataru Shigeeda, Makoto Tomoyasu, Naoki Yanagawa, Hiroyuki Deguchi, Yuka Kaneko, Ryuuichi Yoshimura, Hironaga Kanno, Mayu Sugai, Shunsuke Shikanai, Hajime Saito","doi":"10.1186/s44215-025-00193-7","DOIUrl":"10.1186/s44215-025-00193-7","url":null,"abstract":"<p><strong>Background: </strong>The incidence rate of idiopathic dilatation of the pulmonary artery (IDPA) has been reported as 0.007%. We performed radical pulmonary resection under 3-port video-assisted thoracic surgery (VATS) in a patient with primary lung cancer and IDPA.</p><p><strong>Case presentation: </strong>A 61-year-old man presented with an abnormality identified on chest X-ray during a medical check. Computed tomography revealed a 56-mm pulmonary tumor (diagnosed as squamous cell carcinoma by bronchoscopy) located in S⁶ of the right lower lobe, with clinical middle and lower interlobular lymph node metastasis on the basis of lymphadenopathy. Moreover, the right and left main pulmonary arteries were dilated, but the common basal artery after branches A⁴, A⁵, and A⁶ was normal. The presence of pulmonary hypertension was ruled out by cardiac catheterization, which revealed a pulmonary artery pressure within the normal range (24/11 mmHg). No infectious disease was present, and the patient did not have any history of chronic inflammatory disease. Therefore, IDPA was diagnosed. Surgery was performed, and the intraoperative findings were consistent with those of preoperative CT. Although there were concerns that the pulmonary artery wall might have been weakened due to IDPA, all pulmonary arteries, including the dilated right intermediate trunk, were cut safely with a stapler in this case.</p><p><strong>Conclusion: </strong>In this case, the intraoperative and histopathological findings demonstrated no fragility of the pulmonary arteries, and the pulmonary artery was safely dissected using a stapler in 3-port VATS. However, radical surgery for lung cancer with IDPA is rare, and the safety needs to be verified by accumulating of further cases in the future.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fistulous empyema due to bronchopulmonary laceration with a misintubated nasogastric tube: a case report.","authors":"Ryosuke Matsuda, Yuuki Kou, Yuya Kogita, Yasushi Sakamaki","doi":"10.1186/s44215-025-00201-w","DOIUrl":"10.1186/s44215-025-00201-w","url":null,"abstract":"<p><strong>Background: </strong>Nasogastric tube (NGT) misinsertion into the airway can sometimes cause penetrating trauma, resulting in pneumothorax or empyema which can lead to critical respiratory failure if not promptly recognized. Elderly patients with a diminished cough reflex and impaired communication are particularly vulnerable to NGT misinsertion. We report a case of fistulous empyema caused by tube feeding through an NGT that was misinserted into the airway and penetrated into the pleural cavity.</p><p><strong>Case presentation: </strong>An 82-year-old bedridden woman with severe disability and a medical history of intracerebral hemorrhage was transferred to our department because of acute respiratory failure a day after her NGT was replaced at the referring hospital. During the 19 h between NGT replacement and the first observation of respiratory failure, tube feedings were administered twice via the new NGT. Computed tomography revealed NGT misinsertion into the left lower lobe bronchus and massive liquid accumulation with pneumothorax in the left pleural cavity, suggesting a penetrating bronchopulmonary trauma. After the patient was transferred to our hospital, a chest tube was inserted immediately to drain the contents of the tube feeding that had accumulated in the pleural space. Several days later, surgery was performed to irrigate the empyema cavity and repair the laceration. The postoperative course was uneventful, and the patient returned to the referring hospital.</p><p><strong>Conclusions: </strong>Our case highlights the importance of careful NGT insertion and recognizing misinsertion by radiological findings to avoid severe airway complications, particularly in elderly and neurologically impaired patients.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total arch replacement for resection of a dedifferentiated liposarcoma of anterior mediastinal origin invading the aorta, left common carotid artery, and left subclavian artery: a case report.","authors":"Hiroya Matabe, Takuya Nagashima, Yasuhiro Koga, Masuda Haruhiko, Ryo Izubuchi, Shota Yasuda, Keiji Uchida, Tetsukan Woo, Aya Saito","doi":"10.1186/s44215-025-00191-9","DOIUrl":"10.1186/s44215-025-00191-9","url":null,"abstract":"<p><strong>Background: </strong>Dedifferentiated liposarcomas of mediastinal origin are rare. They are prone to local recurrence and distant metastases; therefore, complete surgical resection is desirable and the most important prognostic factor. In this report, we describe a case of dedifferentiated liposarcoma involving the aortic arch, left common carotid artery, and left subclavian artery that was successfully resected via total arch replacement.</p><p><strong>Case presentation: </strong>A 78-year-old man presenting with hoarseness was diagnosed with a mediastinal tumor. After the examination, the tumor was suspected to be malignant, and the patient was referred to our hospital for surgery. We elected to remove the tumor using an artificial vessel replacement in the aortic arch. The surgery was performed, and the patient's postoperative course was uneventful. The patient was discharged 26 days postoperatively. He is currently being followed up on an outpatient basis, with no signs of recurrence.</p><p><strong>Conclusions: </strong>We encountered a case of dedifferentiated liposarcoma involving the aortic arch, left common carotid artery, and left subclavian artery. Careful planning of the surgical procedures and complete resection of the tumor are important for successful outcomes in such cases.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143653206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac herniation identified without any symptoms following extrapleural pneumonectomy: a case report.","authors":"Ryosuke Tokuda, Satoshi Ikebe, Masayoshi Inoue","doi":"10.1186/s44215-025-00197-3","DOIUrl":"10.1186/s44215-025-00197-3","url":null,"abstract":"<p><strong>Background: </strong>Cardiac herniation, especially right-sided herniation, is a fatal complication which causes sudden hypotension due to obstruction of the vena cava. Here, we describe a case of cardiac herniation identified without any symptoms after right extrapleural pneumonectomy performed for diffuse pleural mesothelioma.</p><p><strong>Case presentation: </strong>A 72-year-old man with diffuse pleural mesothelioma underwent a right extrapleural pneumonectomy after chemotherapy. The tumor had widely invaded the pericardium, necessitating pericardial resection. The pericardial defect was approximately 10 × 6 cm and was reconstructed with a 0.1-mm polytetrafluoroethylene sheet. Routine chest radiographs taken just after the operation were normal. A chest radiograph on postoperative day one revealed cardiac herniation but he remained hemodynamically stable. An urgent re-thoracotomy was performed for pericardial reconstruction. Severe hypotension occurred immediately before the operation, but was improved upon placing the patient in the left lateral decubitus position. Postoperatively, he developed postoperative complications including chylothorax and empyema, and was discharged 118 days after surgery.</p><p><strong>Conclusions: </strong>Cardiac herniation can occur without any symptoms following right pneumonectomy with pericardiectomy. Urgent reoperation is warranted due to the high risk of impending shock, even in hemodynamically stable patients.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re-ballooning of sealing frame for intraoperative paravalvular leak during rapid deployment aortic valve replacement: a report of two cases.","authors":"Kentaro Yuda, Shintaro Katahira, Naoki Masaki, Tatsuya Tago, Kota Itagaki, Katsuhiro Hosoyama, Koki Ito, Yusuke Suzuki, Goro Takahashi, Kiichiro Kumagai, Yoshikatsu Saiki","doi":"10.1186/s44215-025-00198-2","DOIUrl":"10.1186/s44215-025-00198-2","url":null,"abstract":"<p><strong>Background: </strong>Rapid deployment aortic valve replacement (RDAVR) has been widely adopted, but concerns about postoperative paravalvular leak (PVL) associated with its use remain. PVL is linked to an increased risk of long-term mortality; however, there is no consensus on its treatment.</p><p><strong>Case presentation: </strong>Case 1: A 76-year-old female with severe aortic stenosis underwent RDAVR via median sternotomy. Intraoperative transesophageal echocardiography (TEE) revealed moderate PVL at the left-noncoronary cusp commissure. Three horizontal mattress stitches were applied from outside the aorta through the prosthetic sewing cuff to address the PVL site; however, the leak persisted. It was noted that the balloon-expandable sealing frame was slightly protruding inward at a location corresponding to the PVL site. Accordingly, balloon dilatation was performed under direct vision, and the PVL resolved. Postoperatively, no conduction disorders were observed. At the 24-month follow-up, echocardiography showed no recurrence of PVL.  Case 2: A 78-year-old male with severe aortic stenosis underwent RDAVR in a standardized fashion. Intraoperative TEE revealed moderate PVL at the right coronary cusp side. The balloon-expandable sealing frame was found not to have fully expand outward at the PVL site. Balloon dilatation was therefore performed as in Case 1, successfully resolving the PVL. No postoperative conduction disorder was encountered. At the 12-month follow-up, echocardiography revealed no recurrent PVL.</p><p><strong>Conclusions: </strong>Direct intraoperative re-ballooning is a potentially effective option for addressing intraoperatively identified PVL after RDAVR.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translocation of aberrant left subclavian artery and resection of Kommerell's diverticulum by total arch replacement via median sternotomy.","authors":"Koki Yokawa, Taku Nakagawa, Makoto Kusakizako, Yosuke Tanaka, Tomonori Higuma, Kazunori Yoshida, Yoshihiro Oshima, Hidefumi Obo, Hidetaka Wakiyama","doi":"10.1186/s44215-025-00199-1","DOIUrl":"10.1186/s44215-025-00199-1","url":null,"abstract":"<p><strong>Background: </strong>Various methods for reconstructing the left subclavian artery and approaches to treat aortic aneurysms associated with Kommerell's diverticulum and an aberrant left subclavian artery arising from a right-sided aortic arch have been reported.</p><p><strong>Case presentation: </strong>The case involved a 69-year-old woman, in whom a right-sided aortic arch with Kommerell's diverticulum and a left subclavian artery originating from the diverticulum were incidentally observed. Severe stenosis was noted on the origin of the left subclavian artery, and the diameter of Kommerell's diverticulum had expanded to 64 mm, resulting in dysphagia. Therefore, a total arch replacement was performed via median sternotomy. For reconstruction, the left subclavian artery was anastomosed to the left common carotid artery. Kommerell's diverticulum was successfully resected through a median sternotomy. The postoperative course was uneventful, and the patient was discharged home without complications.</p><p><strong>Conclusion: </strong>Translocation of the aberrant left subclavian artery is a simple procedure and is effective during total arch replacement via a median sternotomy.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitral valve repair in severe mitral regurgitation due to Barlow's disease with concomitant mitral annular disjunction: a case report.","authors":"Koji Furukawa, Ayaka Iwasaki, Hirohito Ishii, Sakaguchi Shuhei, Kousuke Mori, Shohei Hiromatsu","doi":"10.1186/s44215-025-00196-4","DOIUrl":"10.1186/s44215-025-00196-4","url":null,"abstract":"<p><strong>Background: </strong>Mitral annular disjunction (MAD) is characterized by the detachment of the mitral valve-left atrial junction from the left ventricular myocardium. The association of MAD with Barlow's disease and its relevance to treatment are increasingly recognized.</p><p><strong>Case presentation: </strong>A 75-year-old male with a history of mitral regurgitation (MR) and ablation for paroxysmal atrial fibrillation was diagnosed with severe MR due to Barlow's disease, as confirmed by echocardiography. Imaging revealed disjunction at the mitral valve's posterior annulus. During surgery, the posterior leaflet was resected along the annulus with precise height adjustments. A 6-mm separation between the mitral valve-left atrial junction and the left ventricular myocardium was sutured using a four-stitch mattress technique. The procedure included leaflet repair, insertion of artificial chordae, and mitral annuloplasty. Postoperatively, the MAD was corrected successfully, eliminating the severe MR.</p><p><strong>Conclusions: </strong>Confirming the presence of MAD before surgery is essential for patients with MR. Surgical correction of MAD is imperative when present to address the disjunction effectively.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitral valve infective endocarditis with spread of infection to the pulmonary valve via coronary artery pulmonary artery fistula: a case report.","authors":"Hiroharu Shinjo, Shoichi Takahashi","doi":"10.1186/s44215-025-00200-x","DOIUrl":"10.1186/s44215-025-00200-x","url":null,"abstract":"<p><strong>Background: </strong>In cases of left-sided infective endocarditis (IE) complicated by one or more lung abscesses, close examination should be performed with the additional presence of right-sided IE in mind. Pulmonary valve IE may occur via a coronary artery pulmonary artery fistula (CAPAF) even in the absence of vegetation at the tricuspid valve.</p><p><strong>Case presentation: </strong>A 76-year-old male was admitted to his local hospital with back pain and weight loss that had started 4 months previously. He was diagnosed with vertebral osteomyelitis, and antibiotic therapy was started. Subsequently, echocardiography revealed mobile vegetation at the mitral valve, and computed tomography (CT) showed multiple lung abscesses. The patient was then transferred to our hospital for urgent surgical intervention. Additional echocardiography revealed no visible vegetation at the tricuspid valve but did show thickening and moderate regurgitation of the pulmonary valve. These results indicated the presence of pulmonary valve IE. In addition, coronary CT angiography revealed CAPAF and intraoperative findings showed vegetation on the pulmonary valve. Therefore, mitral valve replacement (MVR), pulmonary valve replacement (RVR), and CAPAF closure were performed.</p><p><strong>Conclusions: </strong>The present report is thought-provoking to describe the diagnosis of and surgical planning for IE. Firstly, when left-sided IE is complicated by lung abscess, a detailed evaluation of the right heart system and the potential for a left-to-right shunt should be performed, keeping in mind the possible presence of right-sided IE. Secondly, even if there is no vegetation at the tricuspid valve, there may be vegetation at the pulmonary valve, in which case an extracardiac left-to-right shunt that does not pass through the tricuspid valve may be present. CAPAF is a rare anomaly, but it causes pulmonary valve IE, which requires PVR.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thymic carcinoma recurring 11 years post-extended surgery: a case report.","authors":"Kiyoki Okamoto, Takashi Kanou, Sachi Kawagishi, Hideki Nagata, Eiichi Morii, Yasushi Shintani","doi":"10.1186/s44215-025-00190-w","DOIUrl":"10.1186/s44215-025-00190-w","url":null,"abstract":"<p><strong>Background: </strong>Thymic carcinoma is a rare type of tumor originating in the thymus, making up about 15-20% of all thymic epithelial tumors. It typically has a poor prognosis, especially in advanced stages, with low 5-year survival rates. Cases where the cancer recurs more than 10 years after surgery are extremely uncommon. Additionally, there are very few reports about the outcomes of patients who undergo aortic resection as part of their treatment for thymic carcinoma.</p><p><strong>Case presentation: </strong>A 68-year-old male was diagnosed with thymic squamous cell carcinoma classified as Masaoka stage III following the detection of an anterior mediastinal mass during a routine health examination. The patient underwent preoperative treatment, which included two cycles of chemotherapy (cisplatin and docetaxel) and 60 Gy of mediastinal radiotherapy, followed by an extensive surgical procedure comprising extended thymectomy, resection of the ascending aorta and superior vena cava, and wedge resection of the right upper lobe. Postoperative pathological examination revealed ypT3N0M0 disease, corresponding to ypStage IIIa disease, and the patient remained disease-free for 10 years. However, at 11 years after surgery, imaging revealed new nodules in the left lung. Surgical resection confirmed these nodules as metastatic lesions originating from the thymic carcinoma.</p><p><strong>Conclusions: </strong>This case highlights the critical need for long-term monitoring of thymic carcinoma patients, extending beyond the standard 5-year follow-up due to the potential for late recurrence, even in initially disease-free patients. Furthermore, our findings indicate that aortic resection, when carefully selected, can contribute to favorable long-term outcomes in advanced cases. This report enhances the limited literature on the long-term prognosis of thymic carcinoma, particularly following major vascular resection, and underscores the importance of a multidisciplinary approach to optimize patient management and improve outcomes.</p>","PeriodicalId":520286,"journal":{"name":"General Thoracic and Cardiovascular Surgery Cases","volume":"4 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}