Successful perioperative management of a middle mediastinal paraganglioma

Abstract

Middle mediastinal paragangliomas are very rare, slow-growing tumors, but almost all of them are very hypervascular tumors. Complete surgical resection is difficult to achieve because of their proximity to the heart, great vessels, and trachea. We report successful complete resection incorporating preoperative embolization and a clamshell bilateral thoracotomy.