title: A case of a retroesophageal parathyroid adenoma with an aberrant right subclavian artery: a potential surgical pitfall.
abstract: We report a case of retroesophageal parathyroid adenoma coexisting with an aberrant right subclavian artery (ARSA). A 63-year-old female presented with elevated serum calcium and intact parathyroid hormone levels. 99mTc-methoxyisobutylisonitrile scintigram and enhanced chest computed tomography (CT) revealed a mediastinal tumor measuring 25×15×7 mm located posterior to the esophagus. Three-dimensional CT provided accurate anatomical location of the tumor and the ARSA. We safely resected the ectopic parathyroid adenoma using video-assisted thoracic surgery owing to the accurate location of the adenoma and its relationship to the surrounding anatomical structures including the ARSA.
authors: Department of Surgery, Jikei University Kashiwa Hospital, Chiba, Japan.
authors: Takeo
authors: T
authors: Nakada
authors: Tadashi
authors: T
authors: Akiba
authors: Takuya
authors: T
authors: Inagaki
authors: Hideki
authors: H
authors: Marushima
authors: Toshiaki
authors: T
authors: Morikawa
authors: Takao
authors: T
authors: Ohki
mesh_terms: D000236:Adenoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D003680:Deglutition Disorders / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed