title: Multinodular goiter compressing the trachea following open heart surgery.
abstract: Acute hemorrhage into an adenomatous goiter following cardiac surgery is a rare cause of acute upper airway obstruction. We report an unusual presentation of respiratory distress in a patient with goiter recovering from open heart surgery, which was successfully treated by left hemithyroidectomy. A mandatory evaluation of the upper trachea in patients with long-standing benign goiter is recommended prior to cardiac surgery.
authors.affiliation: Division of Cardiothoracic Surgery, Care Hospital, The Institute of Medical Sciences, Road No. 1, Banjara Hills, Hyderabad 500 034, Andhra Pradesh, India.
authors.forename: Lokeswara R
authors.initials: LR
authors.lastname: Sajja
authors.forename: Gopi C
authors.initials: GC
authors.lastname: Mannam
authors.forename: Sriramulu
authors.initials: S
authors.lastname: Sompalli
authors.forename: Chandra S R
authors.initials: CS
authors.lastname: Simhadri
authors.forename: Ashfaq
authors.initials: A
authors.lastname: Hasan
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006044:Goiter, Nodular / Q000150:complications / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D013965:Thyroidectomy; D014133:Tracheal Diseases / Q000209:etiology / Q000601:surgery*