Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 956–959 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Case Report When Cardiopulmonary Bypass Is Not An Option—A Case of Massive Retrosternal Goiter With Severe Tracheal Compression in an Extremely Obese Patient n,1 Phillip Kwan-Giet Lee, MBBS, FANZCA , n,† Anton Willis Gerard Booth, MBBS, FANZCA , n,† Benjamin Simon Lloyd, MBBS, FANZCA Department of Anesthesia, Princess Alexandra Hospital, Brisbane, Australia University of Queensland, School of Clinical Medicine, Princess Alexandra Hospital, Brisbane, Australia Key Words: cardiopulmonary bypass; retrosternal goiter; thyroid disease; tracheal compression; airway obstruction; obese; morbid Recent literature has highlighted the successful use of obstruction. Symptoms included stridor, dyspnea, and severe extracorporeal membrane oxygenation (ECMO) in severe orthopnea that necessitated sleeping upright to avoid precipita- airway obstruction due to mediastinal mass when all other tion of acute respiratory distress. She was extremely obese, 1,2 conventional management options have failed. However, with a weight of 212 kg, a height of 175 cm, and a body mass this case report of a massive retrosternal goiter (RSG) high- index of 69 kg/m . lights that mechanical circulatory support (ie, ECMO or Computed tomography (CT) scan demonstrated that
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
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