Eur J Cardiothorac Surg 2003;23:840
© 2003 Elsevier Science NL
Images in cardio-thoracic surgery |
Huge mediastinal goiter
Stefano Margaritora,
Alfredo Cesario*,
Venanzio Porziella,
Pierluigi Granone
Division of General Thoracic Surgery, Department of Surgical Sciences, Catholic University, Largo Agostino Gemelli, 00168 Rome, Italy
Received 12 December 2002;
accepted 20 January 2003.
* Corresponding author. Tel.: +39-0335-8366161; fax: +39-06-3051162
e-mail: alfcesario{at}yahoo.com
Key Words: Mediastinal goiter • Surgery
A 48 year old man was diagnosed of goiter 12 years ago. He had refused surgery for years until wheezing and worsening dyspnoea despite maximal medical therapy convinced him the time for surgical removal of his problem had come (Fig. 1
). Cervicotomy plus partial `split' sternotomy was carried out and the huge mass removed. Pathology demonstrated a 680 g benign multinodular goiter (Fig. 2
).
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Fig. 1. Pre-operative findings: (A) coronal CT view; (B) same as (A), the inferior limit of the goiter is in contact with the aortic root (arrow); (C) sagittal view, deep innominate vein dislocation (arrow); and (D) longitudinal view.
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