[A case of invasive thymoma requiring the resection and vascular reconstruction of the left brachiocephalic and subclavian vein].

The patient was a 58 years old female with invasive thymoma, which invaded the left brachiocephalic vein, left subclavian vein, pericardium and left lung. These invaded organs were resected with the tumor, and a vascular reconstruction was performed between the left axillary vein and the superior vena cava by means of an expanded polytetrafluoroethylene graft. In order to expose the entire length of the left brachiocephalic vein and left subclavian vein, anterolateral thoracotomy at the first intercostal space and resection of the first rib was performed in addition to the median sternotomy. This method can be used in the resection and reconstruction of a subclavian vein invaded by an anterior mediastinal tumor.