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
› Author Affiliations
Further Information

Publication History

28 May 2019

30 July 2019

Publication Date:
20 October 2019 (online)

Preview

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.