A Case of a Retroesophageal Parathyroid Adenoma with an Aberrant Right Subclavian Artery: A Potential Surgical Pitfall

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Author(s)

    • Nakada Takeo
    • Department of Surgery, Jikei University Kashiwa Hospital, Chiba, Japan
    • Akiba Tadashi
    • Department of Surgery, Jikei University Kashiwa Hospital, Chiba, Japan
    • Inagaki Takuya
    • Department of Surgery, Jikei University Kashiwa Hospital, Chiba, Japan
    • Marushima Hideki
    • Department of Surgery, Jikei University Hospital, Minatoku, Tokyo, Japan
    • Ohki Takao
    • Department of Surgery, Jikei University Hospital, Minatoku, Tokyo, Japan

Abstract

We report a case of retroesophageal parathyroid adenoma coexisting with an aberrant right subclavian artery (ARSA). A 63-year-old female presented with elevated serum calcium and intact parathyroid hormone levels. <sup>99m</sup>Tc-methoxyisobutylisonitrile scintigram and enhanced chest computed tomography (CT) revealed a mediastinal tumor measuring 25 × 15 × 7 mm located posterior to the esophagus. Three-dimensional CT provided accurate anatomical location of the tumor and the ARSA. We safely resected the ectopic parathyroid adenoma using video-assisted thoracic surgery owing to the accurate location of the adenoma and its relationship to the surrounding anatomical structures including the ARSA.

Journal

  • Annals of Thoracic and Cardiovascular Surgery

    Annals of Thoracic and Cardiovascular Surgery 20(Supplement), 786-789, 2014

    The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

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