Single-stage operation for giant substernal goiter with severe coronary artery disease

Sonya Wexler, Kentaro Yamane, Kyle W. Fisher, James T. Diehl, Hitoshi Hirose

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

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 patientv with substernal goiter and severe cardiac disease.

Original languageEnglish (US)
Pages (from-to)524-527
Number of pages4
JournalAnnals of Thoracic and Cardiovascular Surgery
Volume17
Issue number5
DOIs
StatePublished - Oct 25 2011

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology

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