Kim will lead a presentation on Spinal Cord Ischemia and the Resection of Posterior Mediastinal
71 highlight the versatility of median sternotomy (MS) in dealing with children requiring treatment of penetrating mediastinal trauma, anterior and posterior mediastinal
masses, acquired tracheo-oesophageal fistulas secondary to button battery impaction, bronchial foreign bodies and bilateral pulmonary metastases secondary to malignancy.
Chest radiography depicted bilateral posterior mediastinal
This area of posterior parietal pericardial dissection around the paired pulmonary veins could allow a path of ingress of posterior mediastinal
, peribronchial lymph to the pericardial space; absorbed oral fat in the form of chylomicrons could then enter into the pericardial space in this fashion.
Computerized axial tomography (CAT) scan showed a posterior mediastinal
mass compressing the oesophagus, and magnetic resonance imaging (MRI) revealed high signal intensities on both T1 and T2 weighted images suggestive of bronchogenic cyst (Fig.
Mediastinal adenopathy occurs in 60% of all cases and includes the following nodal subgroups: prevascular, aortopulmonary, paratracheal, subcarinal and posterior mediastinal
A large posterior mediastinal
hematoma was identified.
Neurogenic tumors constitute the majority of posterior mediastinal
mass lesions (23) (Figure 11).
This modification permitted us to resect all anterior and most posterior mediastinal
goiters, even those that contained cancer (but without extracapsular extension) without the need for sternotomy.
This report describes the case of a 37-year-old man with a 4-month course of dysphagia secondary to lower esophageal invasion by the posterior mediastinal
extension of a lung IPT.
Radiologic scans of the chest and abdomen revealed right hilar, mediastinal, celiac, and peripancreatic lymphadenopathy and a posterior mediastinal
mass extending inferiorly into the upper abdomen and posteriorly into the vertebrae (Figure 1, A).
Pathology included penetrating mediastinal trauma (1), anterior and posterior mediastinal
masses (4), acquired tracheooesophageal fistulas secondary to button battery impaction (2), bronchial foreign bodies (2) and bilateral pulmonary metastases secondary to malignancy (5).