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Interactive Cardiovascular and Thoracic Surgery 3:174-175(2004)
© 2004 European Association of Cardio-Thoracic Surgery

Case report - Pulmonary

Acute respiratory failure and tracheal obstruction in patients with posterior giant mediastinal (intrathoracic) goiter

Serap Keta,*, Omer Ozbudaka, Tulay Ozdemira and Levent Dertsizb

a Department of Chest Diseases, Akdeniz University Medical Faculty, Antalya, Turkey
b Department of Chest Surgery, Akdeniz University Medical Faculty, Antalya, Turkey

* Corresponding author. Address: Meltem Mahallesi, Kartal Sitesi, C Blok, Daire 28, Antalya, Turkey. Tel.: +90-54-36-43-5517; fax: +90-242-22-744-90
drserapket{at}mynet.com

The extension of a thyroid goiter into the mediastinum, commonly known as a substernal goiter, is commonly located in the anterior mediastinum. Substernal enlargement of a goiter can cause compression of several mediastinal structures including the trachea. Tracheal compression may rarely lead to acute respiratory failure. We present a patient with tracheal compression and respiratory failure due to a posterior mediastinal goiter in the light of the literature.

Key Words: Mediastinal mass; Intrathoracic goiter; Respiratory failure




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