Superior Vena Cava Syndrome and Substernal Goiter

Marcelino, Mafalda; Nobre, Ema; Conceição, João Samuel Sarmento Silva; Lopes, Luis; Vilar, Helena; Castro, João Jácome de

doi:10.1089/thy.2009.0188

Cited by 14 publications

(7 citation statements)

References 5 publications

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“…Nevertheless many benign causes of SVCS such as mediastinal fibrosis, venous thrombosis and tuberculous mediastinitis are described (9). As reported for the first time by Steenerson et al in 1978, MG can be either considered a potential cause of SVCS (10)(11)(12)(13). In MG compressive symptoms are always associated to venous collateral circulation as described by some authors, reporting clinically evident SVCS due to MG, whose clinical presentation were recurrent episodes of hematemesis (7,(14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Tracheal varices caused by mediastinal compression of a large intrathoracic goiter: report of a case

Lucchini¹

2015

GCHIR

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Section: Discussionmentioning

confidence: 99%

Tracheal varices caused by mediastinal compression of a large intrathoracic goiter: report of a case

Lucchini¹

2015

GCHIR

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“…This close proximity to such vascular structures also make their resection more complex with increased risk of bleeding and injury that can come to adjacent structures in the anterior mediastinum. 2 Patients with substernal goiters are asymptomatic for a long period of time until they debut with symptoms associated with compression of intrathoracic structures that usually necessitate surgical treatment unless surgery is contraindicated. This patient had manifestations of airway obstruction and SVC syndrome due to trachea deviation and vascular compression, respectively.…”

Section: Discussionmentioning

confidence: 99%

Transient Palsy of Recurrent Laryngeal Nerve Postresection of Giant Substernal Goiter

Muhoozi

Tang

et al. 2014

Thorac Cardiovasc Surg Rep

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We report a case of a female patient aged 46 years with a history of nodular goiter for which she had a subtotal thyroidectomy 31 years ago. She was referred to the emergency department of our hospital because of dyspnea and chest pain for 20 days, then developed cyanosis and edema of the head and upper extremities. Chest X-ray revealed tracheal repulsion. Cervical and thoracic computed tomography showed a giant solid and a cystic mass in the anterior mediastinum and bilateral pleural effusion. The neck ultrasound did not show any thyroid masses. An exploratory thoracotomy with extensive resection considering the anatomical relation of the mass and the adjacent structures was planned. Immediately after the operation, the patient developed airway complications that resolved in 7 days. The tumor was confirmed pathologically as nodular goiter. The overall outcome of the patient was positive; she is healthy after more than 12 months of follow-up. This report examines the approach to diagnosis and management of one of the most common surgical complication associated with substernal goiters.

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“…Although a goitre sometimes enlarges into supra mediastinum, SVC syndrome is a rare complication to be found 2 3. However, a mediastinal large goitre may cause SVC syndrome, as in the case presented above.…”

Section: Descriptionmentioning

confidence: 99%