PMC3938044_01
Computed tomographicscan revealed a large, well-defined, round softtissue density mass in the left brachiocephalic vein, superior vena cava, and right atrium.
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F1
A chest computed tomographic (CT) scan revealed a mass in the middle mediastinum, extending to the SVC and RA (Figure 1).
A large mass measuring 8 cm x 6 cm x 5 cm in the right atrium.
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F2
A large mass (measuring 8 cm x 6 cm x 5 cm) was seen in the RA with its tail in the atrial septum (Figure 2).
The superior vena cava and bilateral brachiocephalic vein were reconstructed with an autologous pericardial 'Y' conduit.
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F3
After the left-sided venous drainage had been reestablished, the right BCV was anastomosed to an autologous pericardial 'Y' conduit in the same way (Figure 3).
Pathologic examination revealed a type B3 thymoma.
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F4
Pathologic examination revealed a type B3 thymoma (Figure 4), which had directly invaded the left BCV, the SVC, and the RA.