ABSTRACT
A 50-year-old female, presented with severe dyspnoea and dysphagia only to solids. Chest-computed tomography (CT) scan revealed a giant bilateral intrathoracic mass in posterior mediastinum causing marked shift in the midline structures, squeezing the heart to sternum. CT-guided biopsy showed lipoma. The patient underwent left posterolateral thoracotomy for surgical removal of entire mass weighing 6 kg and measured 42 × 25 × 10 cm, with histologic examination reported as liposarcoma grade 1. It is the largest surgically treated intrathoracic liposarcoma documented in the modern literature.
ABSTRACT
A 37-year-old lady presented with difficulty in breathing, which had progressively worsened in the last few months. Investigations revealed dextrocardia, congenitally corrected transposition of aorta, severe left atrioventricular valve stenosis with regurgitation, and right atrioventricular valve regurgitation. Left atrioventricular valve stenosis with thickening of leaflets and commissural fusion were suggestive of rheumatic valvular heart disease. She underwent left atrioventricular valve replacement and right atrioventricular valve repair with annuloplasty ring. This is a unique association of rheumatic valvular disease in corrected transposition of great arteries with dextrocardia. Morphology made surgical correction very challenging. Surgical correction of such case has not been reported in literature so far.
