Single-stage Operation for Giant Substernal Goiter with Severe Coronary Artery Disease

DOI 被引用文献1件 参考文献18件
  • Wexler Sonya
    The George Washington University School of Medicine and Health Sciences, Washington DC., USA
  • Yamane Kentaro
    Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Fisher Kyle W.
    Department of Otolaryngology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Diehl James T.
    Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  • Hirose Hitoshi
    Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

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A 76-year-old female, with a history of asthma and tracheal bronchitis, presented with a non-ST elevation, myocardial infarction. Chest x-ray on admission showed a widened mediastinum, which was further evaluated with a computed tomography (CT) scan. It disclosed a giant substernal goiter compressing the trachea and the ascending aorta. Cardiac catheterization showed significant coronary disease unsuitable for percutaneous intervention; thus, the patient was scheduled for coronary artery bypass grafting. Single stage thyroidectomy immediately followed by coronary artery bypass was performed. After surgery, her upper airway symptoms were improved, and no cardiac events were noted. Collaboration between otolaryngology and thoracic surgery teams contributed to good outcomes for this patient with substernal goiter and severe cardiac disease.

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