Extracorporeal membrane oxygenation-assisted resection of goiter causing severe extrinsic airway compression

Ann Thorac Surg. 2009 Aug;88(2):659-61. doi: 10.1016/j.athoracsur.2008.12.073.


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.

Publication types

  • Case Reports

MeSH terms

  • Anesthesia, General
  • Ankylosis
  • Arthritis, Rheumatoid / epidemiology
  • Comorbidity
  • Extracorporeal Membrane Oxygenation*
  • Female
  • Goiter, Nodular / complications
  • Goiter, Nodular / epidemiology
  • Goiter, Nodular / surgery*
  • Humans
  • Intubation, Intratracheal
  • Jaw Diseases / epidemiology
  • Middle Aged
  • Respiration, Artificial
  • Thyroidectomy / methods*
  • Tomography, X-Ray Computed
  • Tracheal Diseases / etiology*
  • Tracheostomy