Aorticopulmonary paraganglioma

Gen Thorac Cardiovasc Surg. 2011 Dec;59(12):812-4. doi: 10.1007/s11748-010-0769-6. Epub 2011 Dec 16.


We describe a 61-year-old woman with an anterior mediastinal paraganglioma. The patient complained of a chronic cough that had lasted about 6 months. Her chest computed tomography (CT) showed a highly enhanced mediastinal tumor in the aorticopulmonary window. We surgically resected this tumor thorough a left anterior thoracotomy. Although numerous feeding vessels and firm adhesions with the pericardium hindered the procedure, macroscopically complete resection was achieved. Postoperatively, the tumor was diagnosed as an aorticopulmonary paraganglioma. As these highly enhanced tumors in the anterior mediastinum on CT images are unusual, a differential diagnosis including mediastinal hemangioma, epithelioid hemangioendothelioma, Castleman's disease, choriocarcinoma, metastatic tumor (especially from renal cell carcinoma), and paraganglioma should be considered.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Mediastinal Neoplasms / diagnosis*
  • Mediastinal Neoplasms / pathology
  • Mediastinal Neoplasms / surgery
  • Middle Aged
  • Paraganglioma / diagnosis*
  • Paraganglioma / pathology
  • Paraganglioma / surgery
  • Thoracotomy
  • Tomography, X-Ray Computed