Case 156: Left Para-Aortic Mediastinal Node Biopsy
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Current Case:
A 72-yrs old with rheumatoid arthritis and RA-ILD came with fever and CT scan showed a necrotic, confluent nodal mass in the left para-aortic mediastinum in the prevascular space.
The rheumatologist wanted a biopsy.
The video discusses the case, the transsternal biopsy approach with a little history of this technique, and multiple similar cases
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Region: Mediastinum
Age: 72 yrs
Findings: Left para-aortic prevascular space mass
Lesion Biopsied: Same
Size of Lesion: Not relevant
Gun: 18G Cook, 10 mm throw, long
No of cores: 3 for histopath and aspirate pus for micro
Sedation: No
Position & Approach: Supine, transsternal
Time Taken (marker to wash-out): 9 mins
Complication: None
Level of Difficulty: 4/5
Diagnosis: Tuberculosis and Staph hemolyticus