1. A 75-YEAR OLD PATIENT WITH MULTINODULAR GOITER COMPLICATED WITH MITRAL STENOSIS AND CHRONIC PULMONARY DISEASE - THE IMPORTANCE OF SURGEON PERFORMED ULTRASOUND.
- Author
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ANGHEL, ION, CONDEESCU, MIHNEA, DUMITRU, MIHAI, ANGHEL, ALINA GEORGIANA, ANGHEL, OANA ADRIANA, and CERGAN, ROMICA
- Subjects
GOITER diagnosis ,MITRAL stenosis ,LUNG diseases ,ULTRASONIC imaging ,SURGERY ,OLDER patients ,PATIENTS - Abstract
Introduction: We describe the management of a-75 year old patient with chronic obstructive pulmonary disease (COPD), II New York Heart Association (NYHA) class heart failure, mitral stenosis and hypertension who presented with mild respiratory distress and dysphagia secondary to compression from a multinodular goiter. In order to properly manage this case, we reviewed the current State of the Art on multinodular goiter in patients with multiple associated pathologies. Results: A multidisciplinary team was assembled including anesthesiology, cardiology and otolaryngology specialists. The patient underwent a cervicotomy with the removal of the compressive thyroid goiter. Conclusions: Airway obstruction and swallowing problems from extra-tracheal compression in a patient with coexistent morbidity represent a unique management dilemma. Therefore, we relied on surgeon-performed ultrasound exam to ascertain all the risks and the possibility of surgical removal of the thyroid mass. The ultrasound exam enabled the correct and complex surgical planning along with an improved resident training concerning the procedure. [ABSTRACT FROM AUTHOR]
- Published
- 2016