Resection of a symptomatic complex anterior mediastinal teratoma via sternotomy.
Grace Lee, Mujtaba Mubashir, Matthew Wang et al.
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Case in brief
A patient presented with a large anterior mediastinal teratoma measuring 11 × 10 × 10 cm, causing significant compression of the right atrium, right ventricle, superior vena cava, and aorta, along with perforation into the right pleural cavity and hemidiaphragm elevation. A median sternotomy was performed to address extensive adhesions, allowing for en bloc resection of the tumor and involved structures, which contained hair, fat, and calcifications.
Diagnostic / clinical pearl
Clinicians should be aware that mature mediastinal teratomas can present with extensive intrathoracic involvement, leading to significant cardiovascular and respiratory complications.