Koroner arter bypass greftleme öyküsü olan bir hastada “gizli” guatrın cerrahi tedavisi

Year 2019, Volume: 10 Issue: 1, 117 - 119, 21.03.2019

Atike Tekeli Kunt , Gul Daglar Seyhan Babaroglu Naim Boran Tumer Orhan Eren Gunertem Ali Baran Budak Kanat Ozisik Serdar Gunaydin

https://doi.org/10.18663/tjcl.421573

Abstract

Gizli
guatr nadir karşılaşılan bir durum olmasına rağmen servikal bölgeye yapılan
kesilerle cerrahi olarak tedavi edilebilmektedir. Ekstraservikal yaklaşık
istisnai durumlarda başvurulan bir yöntemdir. Biz bu olgu sunumunda daha önce
kardiyak cerrahi geçirmiş, gizli guatrı olan bir hastada tiroidektomi için
transservikal yaklaşım ile mini-sternotomiyi nasıl kombine ettiğimizi anlatmak
istedik.

Keywords

retrosternal guatr, cardiac surgery

Surgical managment of “forgotten” goiter in a patient with the history of coronary artery bypass grafting.

Abstract

Forgotten
goiter is a rare condition and it is surgically managed through cervical
approach in most cases. Extracervical management could be necessary in rare
cases. We report a case of a forgotten goiter managed with thyroidectomy
through a mini-resternotomy combined with a transcervical approach as the
patient underwent previous cardiac surgery.

Keywords

retrosternal goiter, cardiac surgery

References

• 1. Haller A. Disputationes Anatomica Selectae. Gottingen: Vandenhoeck 1749: 96.
• 2. Massard G, Wihlm JM, Jeung MY, Roeslin N, Dumont P, Witz JP. Forgotten mediastinal goiter: seven cases. Ann Chir 1992; 46: 770–73.
• 3. Calò PG, Tatti A, Medas F, Petruzzo P, Pisano G, Nicolosi A. Forgotten goiter. Our experience and a review of the literature. Ann Ital Chir 2012; 83: 487-90.
• 4. Riquet M, Deneuville M, Debesse B, Chretien J, Autonomous intrathoracic goiter: apropos of 2 new cases, Rev Pneumol Clin 1986; 42: 267–73.
• 5. Tsilimigras DI, Patrini D, Antonopoulou A, Velissaris D, Koletsis E, Lawrence D, et al. Retrosternal goitre: the role of the thoracic surgeon. J Thorac Dis 2017; 9: 860-63.