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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Been Suffering With Chest Pain, Dizziness, Breathlessness, Enlarged Thymus Gland, Mass Located Near Heart. What Can Be Done?

I am 32 and have been suffering with chest pain , dizziness , shortness of breath and other symptoms for almost four years. I was finally given a ct scan in early december and was informed that I had an enlarged thymus gland . I was told I would need an MRI and upon receiving the results of the MRI I was informed there was a mass located near my heart and very close to a main artery. I was then sent to a cardiac surgeon in my area who obviously wants to operate and take the mass out and then biopsy. The complication here is that I have just found out I am pregnant. First there was discussion of waiting until I was out of my first trimester so as not to cause birth defects due to the anesthesia. Now doctor is unsure of what can be done to effectively manage my pain after operation while pregnant. Please tell me in your experience have you ever come across a case similar to my own and if so how did would you suggest my doctor proceed?
Wed, 23 Jan 2013
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Cardiac Surgeon 's  Response
Hi,
I have not come across anything of that kind.
But I will give you my thoughts.
If it is a precious pregnancy then you and the doctor have to take a risk and go ahead.
First trimester is better if one thinks in terms of haemodynamic compromise. But birth defects are common if exposed in the first trimester.
If the thymic mass is benign looking and your symptoms are tolerable, carry the pregnancy and get operated after your labour.
But I telll you there are many safe medications available for the foetus.
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Been Suffering With Chest Pain, Dizziness, Breathlessness, Enlarged Thymus Gland, Mass Located Near Heart. What Can Be Done?

Hi, I have not come across anything of that kind. But I will give you my thoughts. If it is a precious pregnancy then you and the doctor have to take a risk and go ahead. First trimester is better if one thinks in terms of haemodynamic compromise. But birth defects are common if exposed in the first trimester. If the thymic mass is benign looking and your symptoms are tolerable, carry the pregnancy and get operated after your labour. But I telll you there are many safe medications available for the foetus.