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Resection of a superior mediastinal mature teratoma using intraoperative neural monitoring



Resection of a superior mediastinal mature teratoma using intraoperative neural monitoring



Annals of Thoracic Surgery 2019



A 33-year-old female presented with a right cervical mass. Contrast computed tomography showed a multilocular tumor with a clear border and heterogeneous contents including fat and calcification. The tumor was located adjacent to the vagus and recurrent nerves. To avoid injury of these nerves, we resected the tumor through a median sternotomy and right cervical lateral incision. Intraoperative neural monitoring was performed using an NIM TriVantage EMG tube. After the surgery, no neuropathy such as hoarseness was recognized. Pathological diagnosis showed a benign mature teratoma. Intraoperative neural monitoring is useful for superior mediastinal surgery around the vagus and recurrent nerves.

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Accession: 066688116

Download citation: RISBibTeXText

PMID: 30981848

DOI: 10.1016/j.athoracsur.2019.03.035


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