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Concomitant aortic valve replacement and retrosternal goitre resection via mini-sternotomy: a novel case

机译:通过微型胸骨切开术同时进行主动脉瓣置换和胸骨后甲状腺肿切除

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摘要

Median sternotomy has been used to aide thyroidectomies demonstrating good outcomes; however no cases have been documented to show the use of mini-sternotomy to perform simultaneous thyroidectomy and valve surgery. We present a novel case of an 83-year-old woman with severe aortic stenosis and retrosternal goitre extending to the aortic arch deemed unsuitable for TAVI. Due to co-morbid status and anatomical position preventing routine thyroidectomy, we elected to perform a combined procedure to excise the goitre and perform an aortic valve replacement through a mini-J sternotomy, utilizing 3D-reconstructed imaging to plan our approach. This case shows that mini-sternotomy is a safe and effective method to perform concomitant thyroidectomy and aortic valve surgery.
机译:正中胸骨切开术已被用于辅助甲状腺切除术,显示出良好的预后。然而,尚无病例显示使用微型胸骨切开术同时进行甲状腺切除和瓣膜手术。我们介绍了一个新的病例,其中一名83岁的女性患有严重的主动脉瓣狭窄和胸骨后甲状腺肿,延伸至认为不适合TAVI的主动脉弓。由于共病状态和解剖位置无法进行常规的甲状腺切除术,我们选择进行联合手术切除甲状腺肿并通过mini-J胸骨切开术进行主动脉瓣置换,并利用3D重建成像计划我们的方法。该病例表明,微型胸骨切开术是进行甲状腺切除术和主动脉瓣手术的安全有效方法。

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