Piao Meihua, Yuan Ye, Wang Yanshu, Feng Chunsheng
Department of Anesthesiology, the First Hospital of Jilin University, Changchun 130021, Jilin, PR China.
J Cardiothorac Surg. 2013 Nov 15;8:212. doi: 10.1186/1749-8090-8-212.
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.
本文报告一例65岁中国男性患者，因巨大胸骨后甲状腺肿导致严重气管狭窄。MRI和CT扫描显示，巨大胸骨后甲状腺肿大小为9.3×6.1×4.7cm，将气管和相邻大血管推向患者右侧，导致严重的胸段气管受压，长度达6cm，气管最窄处直径仅3.0mm。据我们所知，对于巨大胸骨后甲状腺肿切除术，最佳气道管理被认为是术前临时放置气管支气管支架。
