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Ann Thorac Surg 2006;81:358-360
© 2006 The Society of Thoracic Surgeons

Case report

Bleeding "Downhill" Varices: A Rare Complication of Intrathoracic Goiter

Eric L. R. Bédard, MD, MSc, Jean Deslauriers, MD, FRCS(C) *

Division de Chirurgie Thoracique, Centre de Pneumologie de L'Hôpital Laval, Sainte-Foy, Québec, Canada

Accepted for publication August 9, 2004.

* Address correspondence to Dr Deslauriers, Division de Chirurgie Thoracique, Centre de Pneumologie de L'Hôpital Laval, Sainte-Foy, Québec, G1V 4G5 Canada.

We report a case of a 68-year-old woman with a 16-year history of a benign goiter. The patient presented with hematemesis and a clinically evident superior vena cava syndrome. Preoperative evaluation demonstrated upper esophageal varices and large posterior mediastinal goiter. The patient underwent successful resection of the mass with complete resolution of both the superior vena cava syndrome and "downhill" varices.




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