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

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概要

• 論文の詳細を見る

• 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.

• Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
• 2011-10-01

著者

• YAMANE Kentaro

  Division of Cardiovascular Surgery, Nagasaki University School of Medicine

• Hirose Hitoshi

  Division Of Cardiothoracic Surgery Department Of Surgery Thomas Jefferson University

• Hirose Hitoshi

  Division Of Cardiothoracic Surgery Department Of Surgery Thomas Jefferson University Hospital

• DIEHL James

  Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital

• Diehl James

  Division Of Cardiothoracic Surgery Department Of Surgery Thomas Jefferson University Hospital

• Fisher Kyle

  Department Of Otolaryngology Thomas Jefferson University

• WEXLER Sonya

  The George Washington University School of Medicine and Health Sciences

• Yamane Kentaro

  Division Of Cardiothoracic Surgery Department Of Surgery Thomas Jefferson University Hospital

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