[Severe obstruction of upper airway by cervicomediastinal goitre in patients with cardiopulmonary insufficiency].
The symptoms of the retrosternal goitre are due to the compression especially on airway, by thyroid growth in mediastinum. We present a case of an old woman affected by chronic obstructive broncopneumopathy, atrial fibrillation and mediastinal goitre. The previous growth in mediastinum was the cause of compression on airway with unexpected worsening of respiratory function. The risk of total thyroidectomy was related to the possible tracheomalacia. The surgery improved respiratory performance.
Università degli Studi di Parma, Dipartimento di Scienze Chirurgiche, Clinica Chirurgica Generale e Trapianti d'Organo.
L
L
Sommaruga
P
P
Del Rio
F G
FG
Accardi
F
F
Cademartiri
M F
MF
Arcuri
M
M
Sianesi
D000369:Aged, 80 and over; D000402:Airway Obstruction / Q000209:etiology*; D001281:Atrial Fibrillation / Q000150:complications*; D005260:Female; D006042:Goiter / Q000150:complications*; D006801:Humans; D008482:Mediastinum; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications*; D012720:Severity of Illness Index
Grave ostruzione delle alte vie respiratorie da gozzo cervico-mediastinico inveterato in paziente cardiopneumopatica.