Successful management of trachea stenosis with massive substernal goiter via thacheobronchial stent.
A case of 65 year-old Chinese male patient with severe tracheal stenosis due to a massive substernal goiter, is presented. MRI and CT scan revealed that the massive substernal goiter was 9.3 × 6.1 × 4.7 cm in size, displacing the trachea and adjacent large vessels to the patient's right contributing to severe intrathoracic trachea compression up to 6 cm in length and the narrowest caliber of the trachea only 3.0 mm in diameter. To the best of our knowledge, optimal airway management for the massive substernal goiter resection was considered to be temporary tracheobronchial stent placement pre-operation.
Meihua
M
Piao
Ye
Y
Yuan
Yanshu
Y
Wang
Department of Anesthesiology, the First Hospital of Jilin University, Changchun 130021, Jilin, PR China. fcs1971@hotmail.com.
Chunsheng
C
Feng
D000368:Aged; D058109:Airway Management / Q000295:instrumentation / Q000379:methods; D001980:Bronchi / Q000601:surgery; D006045:Goiter, Substernal / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D015607:Stents; D014132:Trachea / Q000601:surgery; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*