Concomitant Robotic Pericardial Window and Mediastinal Tumour Biopsy Under Intraoperative Ultrasound Guidance.

Interdiscip Cardiovasc Thorac SurgNov 3, 2026
Case ReportCardiothoracic SurgeryOncology (Medical)

Alfonso Fiorelli, Vincenzo Di Filippo, Antimo Leva et al.

✦ AI-curated · Sources linked

Case in brief

An 83-year-old woman presented with an undiagnosed mediastinal mass and a symptomatic, loculated pericardial effusion. She underwent a robotic pericardial window and mediastinal tumour biopsy performed together under intraoperative ultrasound guidance. Biopsy established B-cell lymphoma. After chemo-immunotherapy, echocardiography and chest computed tomography at 6-month follow-up showed tumour shrinkage and no recurrence of the effusion.

What made this case unusual

The pericardial window and tumour biopsy were performed concomitantly using a robotic approach, with intraoperative ultrasound guidance.

Diagnostic / clinical pearl

In a patient with a mediastinal mass and symptomatic pericardial effusion, tissue biopsy can establish the diagnosis while a pericardial window addresses the effusion; this case used intraoperative ultrasound guidance for the combined procedure.

Source

PubMed · PMID 42742129

Published in Interdiscip Cardiovasc Thorac Surg. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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