A mediastinal angiomatoid fibrous histiocytoma radically resected with the use of cardiopulmonary bypass and transection of the ascending aorta

Luis Gisli Rabelo; Christine Tolman; Brynja Jonsdottir; Tomas Gudbjartsson

doi:10.1093/icvts/ivae214

A mediastinal angiomatoid fibrous histiocytoma radically resected with the use of cardiopulmonary bypass and transection of the ascending aorta

Interdiscip Cardiovasc Thorac Surg. 2024 Dec 23:ivae214. doi: 10.1093/icvts/ivae214. Online ahead of print.

Authors

Luis Gisli Rabelo^{1

2}, Christine Tolman³, Brynja Jonsdottir⁴, Tomas Gudbjartsson^{1

2}

Affiliations

¹ Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
² Cardiothoracic Department, Landspitali-National University Hospital, Reykjavik, Iceland.
³ Radiology Department, Landspitali-National University Hospital, Reykjavik, Iceland.
⁴ Pulmonary Department, Landspitali-National University Hospital, Reykjavik, Iceland.

PMID: 39714286
DOI: 10.1093/icvts/ivae214

Abstract

Angiomatoid fibrous histiocytoma (AFH) is a rare soft tissue tumour that rarely behaves malignant. We report a radical resection of a mediastinal AFH, which grew invasively into the pulmonary artery wall, was adherent to the posterior aorta and close to the main stem of the left coronary artery. A transection of the aorta was performed using cardiopulmonary bypass and cardioplegic arrest for a safe and radical removal that resulted in symptom relief.

Keywords: Angiomatoid fibrous histiocytoma; cardiopulmonary bypass; mediastinal tumor; surgical resection; transection of the ascending aorta.