Most cases of thymic carcinoma have some invasion to neighboring organs when diagnosed, and it is generally difficult to completely remove. We adopted selective cerebral perfusion as a cerebral protection and successfully performed resection of a thymic adenocarcinoma that involved the superior vena cava, left brachiocephalic vein, right brachiocephalic artery and vein, and left common carotid artery in a 47-year-old woman. Even if multiple great vessels were involved by mediastinal malignant tumor, complete resection with selective cerebral perfusion could be safely performed. © 2008 The Society of Thoracic Surgeons.
Yoshioka, M., Ichiguchi, O., Hirayama, T., Sassa, T., & Kamio, T. (2008). Radical Excision of Thymic Adenocarcinoma with Selective Cerebral Perfusion. Annals of Thoracic Surgery, 85(4), 1427–1429. https://doi.org/10.1016/j.athoracsur.2007.10.075