Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 1090–1092 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Diagnostic Dilemma An Unusual Finding in a Woman Undergoing Resection of a Large Anterior Mediastinal Mass n n Julie K. Freed, MD, PhD , Alexandra J. Dyer, BA , n n Timothy J. Olund, MD , Daniel J. Veldheer, MD , n †,1 Brent T. Boettcher, DO , Paul S. Pagel, MD, PhD Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI Anesthesia Service, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI Key Words: anterior mediastinal mass; malignant thymoma; right ventricular compression; transesophageal echocardiography AN 81-YEAR-OLD, 51-kg, 157-cm woman with a history without apparent mainstem bronchus, cardiac, or great vessel of chronic obstructive pulmonary disease presented to the compression. Transthoracic echocardiography with the patient authors’ institution with progressive dyspnea. She denied chest in the supine position conﬁrmed the presence of the mediast- pain, orthopnea, and supine presyncope. Her respiratory inal mass and demonstrated normal left and right ventricular complaints worsened despite medical therapy after admission. (RV) size and function. The patient underwent radiation Thoracic computed tomography was obtained as part of the therapy and adjuvant
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
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