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Ann Thorac Surg 2009;88:659-661. doi:10.1016/j.athoracsur.2008.12.073
© 2009 The Society of Thoracic Surgeons
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Case Reports

Extracorporeal Membrane Oxygenation-Assisted Resection of Goiter Causing Severe Extrinsic Airway Compression

Yongfeng Shao, MDa, Meiping Shen, MDb, Zhengnian Ding, MD, PhDc, Yongnian Liang, MDa, Shijiang Zhang, MDa,*

a Division of Cardiothoracic Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, People's Republic of China
b Division of Endocrine Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, People's Republic of China
c Department of Anesthesiology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, People's Republic of China

Accepted for publication December 22, 2008.

* Address correspondence to Dr Zhang, Nanjing Medical University, 300 Guangzhou Rd, Nanjing, 210029, People's Republic of China (Email: zhsj195177{at}yahoo.com.cn).

We report a case of a 51-year-old woman with a huge multi-nodular thyroid goiter extending down into the superior mediastinum and causing severe extrinsic airway compression. Also due to the reason of severe rheumatoid arthritis, her mouth could not open widely. Because the endotracheal intubation was unsuccessful, we performed a subtotal thyroidectomy with the institution of veno-arterial extracorporeal membrane oxygenation.




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