Management of an ascending aortic aneurysm with coronary artery disease and tracheal compression from a substernal goiter.
We report the case of a 61-year-old female, who presented with a history of chronic fatigue, dyspnea on exertion, a widened mediastinum with tracheal deviation on chest X-ray, and a neck mass. After a diagnostic workup, the patient was found to have a paratracheal mass extending into the chest in addition to a 6.5 cm ascending aortic aneurysm with aortic insufficiency, and a 70% stenosis of the right coronary artery. She underwent successful resection of a substernal goiter via a neck incision facilitated by a previously performed sternotomy for a concomitant ascending aortic root replacement and a bypass utilizing the RIMA to the distal RCA.
Banker
Michael C
MC
Division of Cardiothoracic Surgery, University of Medicine and Dentistry New Jersey, Newark, NJ 07103, USA. bankermc@umdnj.edu
Sambol
Justin
J
Raina
Suresh
S
D001011:Aorta / Q000503:physiopathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003324:Coronary Artery Disease / Q000503:physiopathology*; D005260:Female; D006045:Goiter, Substernal / Q000150:complications / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D014133:Tracheal Diseases / Q000503:physiopathology / Q000601:surgery*