The authors describe a case of a 64 year-old woman with a four-year history of angina. The patient was operated upon under standart cardiopulmonary bypass and had received two saphenous vein grafts and an internal mamary artery graft, concomitant with a mediastinal mass resection. The histological tumor diagnosis was epithelial leiomyosarcoma. The patient had first presented, 13 years ago, an uterine fibrosis, that had been resected. The radiograph diagnosis of the tumor was difficulted by several pleural opacities secondary to a previous pulmonary tuberculosis and a left thoracotomy. This rare association and the validity of the simultaneous surgical procedure are here emphasided.
myocardial revascularization + mediastinal tumor; myorcardial revascularisation; mediastinal tumors