A Case of a Retroesophageal Parathyroid Adenoma with an Aberrant Right Subclavian Artery: A Potential Surgical Pitfall

被引：2
作者：
Nakada, Takeo [1 ]
Akiba, Tadashi [1 ]
Inagaki, Takuya [1 ]
Marushima, Hideki [2 ]
Morikawa, Toshiaki [2 ]
Ohki, Takao [2 ]
机构：
[1] Jikei Univ, Kashiwa Hosp, Dept Surg, Kashiwa, Chiba 2778567, Japan
[2] Jikei Univ Hosp, Dept Surg, Minato Ku, Tokyo, Japan
来源：
ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY | 2014年 / 20卷
基金：
日本学术振兴会;
关键词：
Ectopic parathyroid adenoma; aberrant right subclavian artery; three-dimensional computed tomography; video-assisted thoracic surgery; ENCEPHALOPATHY; SURGERY; LUNG;
D O I：
10.5761/atcs.cr.12.02124
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of retroesophageal parathyroid adenoma coexisting with an aberrant right subclavian artery (ARSA). A 63-year-old female presented with elevated serum calcium and intact parathyroid hormone levels. Tc-99m-methoxyisobutylisonitrile scintigram and enhanced chest computed tomography (CT) revealed a mediastinal tumor measuring 25 x 15 x 7 mm located posterior to the esophagus. Three-dimensional CT provided accurate anatomical location of the tumor and the ARSA. We safely resected the ectopic parathyroid adenoma using video-assisted thoracic surgery owing to the accurate location of the adenoma and its relationship to the surrounding anatomical structures including the ARSA.
引用
收藏
页码：786 / 789
页数：4
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