Abstract
An 80-year-old frail lady presented to us with a history of progressively increasing breathlessness for 3 months and stridor ×7 days. She had been evaluated under Cardiology for rest pain and evaluated on lines of Acute Coronary Syndrome/NSEMI, Angiography was normal but the patient was found to have a substernal mass with external compression over trachea. On examination there was a 3 × 3 cm nodule palpable in the region of the left lobe of thyroid gland without cervical LAP. CT Neck and Thorax showed both lobes of thyroid had multiple heterogeneously enhancing nodules with coarse calcification and severe luminal narrowing of trachea and deviation towards the right side with mediastinal extension up to D3. The patient presented with unacceptable surgical risk and was referred to a pulmonologist for the possibility of tracheal stenting. They performed rigid bronchoscopy which revealed >70% tracheal narrowing due to external compression and narrowing extended from 2.8 cm distal to the vocal cord. Stenting Y-Shaped Silicon stent No. 18 was put without any procedure-related complication. There was a significant improvement in stridor. At follow-up of 6 months the patient is well without any episode of stridor or airway compromise (Fig. 1, 2, and 3).
Amit Agarwal is the lead author of this chapter.
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Agarwal, A., Fernando, R., Parameswaran, R., Mishra, A., Pradhan, R. (2023). Retrosternal Goiter Treated by Tracheal Stenting. In: Case Studies in Thyroid and Parathyroid Tumors. Springer, Singapore. https://doi.org/10.1007/978-981-99-0938-4_61
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DOI: https://doi.org/10.1007/978-981-99-0938-4_61
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