Simultaneous Surgical Management of Anterior Mediastinal Mature Cystic Teratoma and Triple Vessel Coronary Artery Disease in a Patient with Inguinal Hernia: A Case Report

We present a case of a 61-year-old diabetic male patient who was incidentally found to have a large anterior mediastinal mature cystic teratoma during a routine chest radiograph performed as part of pre-anaesthesia evaluation for inguinal hernia surgery. Although, the patient was largely asymptomatic, but reported mild exertional dyspnea. Further investigations revealed triple vessel coronary artery disease (TVCAD. A multidisciplinary approach involving thoracic, cardiac and anesthesia teams led to the decision of performing a single-stage surgery. The surgical procedure involved resecting the mediastinal mass and subsequently performing coronary artery bypass grafting (CABG) for the triple vessel disease. The patient’s postoperative recovery was smooth, with no significant complications, and he was discharged in stable condition. His histopathological examination confirmed the diagnosis of a mature cystic teratoma. This case shows the importance of a coordinated, multidisciplinary strategy in managing complex coexisting pathologies, showing the feasibility of simultaneous surgical intervention for both mediastinal and coronary conditions.