When Cardiopulmonary Bypass Is Not An Option—A Case of Massive Retrosternal Goiter With Severe Tracheal Compression in an Extremely Obese Patient

When Cardiopulmonary Bypass Is Not An Option—A Case of Massive Retrosternal Goiter With Severe... 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cardiothoracic and Vascular Anesthesia Elsevier

When Cardiopulmonary Bypass Is Not An Option—A Case of Massive Retrosternal Goiter With Severe Tracheal Compression in an Extremely Obese Patient

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Publisher
Elsevier
Copyright
Copyright © 2017 Elsevier Ltd
ISSN
1053-0770
D.O.I.
10.1053/j.jvca.2017.06.030
Publisher site
See Article on Publisher Site

Abstract

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

Journal of Cardiothoracic and Vascular AnesthesiaElsevier

Published: Apr 1, 2018

References

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