title: Surgical treatment of mediastinal parathyroid adenoma.
abstract: Ectopic parathyroid adenoma is a frequent cause of persistent or recurrent hyperparathyroidism after parathyroidectomy in patients with chronic renal failure on dialysis. An unusual anatomic localization of parathyroid adenoma may make the diagnosis and surgery difficult. In a 41-year-old woman with chronic renal failure, increased serum level of parathyroid hormone and symptoms of progressive renal osteodystrophy, mediastinal parathyroid adenoma was detected in the aorticopulmonary window by 99m Tc sesta MIBI scintigraphy and transmission computed tomography. Extirpation of adenoma, sized 3 x 2 cm, was performed through a left thoracotomy. Serum parathormone level returned to normal and the patient steadily recovered.
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Division of Anesthesiology and Intensive Care of Cardiac Surgery, Dubrava University Hospital, Avenija Gojka Suska 6, 10000 Zagreb, Croatia.
authors.forename: Jurica
authors.initials: J
authors.lastname: Maraković
authors.forename: Bojan
authors.initials: B
authors.lastname: Biocina
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Sutlić
authors.forename: Igor
authors.initials: I
authors.lastname: Rudez
authors.forename: Marijan
authors.initials: M
authors.lastname: Kolovrat
authors.forename: Davor
authors.initials: D
authors.lastname: Barić
authors.forename: Ino
authors.initials: I
authors.lastname: Husedzinović
authors.forename: Vesna
authors.initials: V
authors.lastname: Rupcić
mesh_terms: D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D002828:Choristoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology; D008477:Mediastinal Diseases / Q000601:surgery*; D010280:Parathyroid Glands / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*