Excision of a mediastinal tumor process associated with simultaneous treatment of isthmic coarctation of the aorta: About a case

Abstract

Isthmic coarctation of the thoracic aorta associated with an ipsilateral mediastinal tumor process is the only case that we have encountered in our experience and no similar case has been reported in the international literature. We report the clinical case of a 6-year-old child presenting severe hypertension associated with a pathological image on the telethorax. CT-guided biopsy of the process revealed a hemolymphangioma associated with CT angiography of an isthmic coarctation of the aorta.

The child underwent a successful single-stage operation and benefited from complete excision of the mass with treatment of the coarctation of the aorta. The interest of the case is to underline the congenital nature of the two conditions, independent of each other, and the possibility of treatment in a single stage.

This observation shows that we can sometimes treat two different conditions in the same surgical procedure, with a single approach, but taking into account compatibility in the field of asepsis.

It is also a plea to broaden the training of thoracic surgeons who must also acquire skills in the vascular field.