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

Rickesh B Karsan; Prakash Nanjaiah; John Hogan; Dheeraj Mehta; Michael Stetchman

doi:10.1093/jscr/rjaa066

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

J Surg Case Rep. 2020 Jun 1;2020(5):rjaa066. doi: 10.1093/jscr/rjaa066. eCollection 2020 May.

Authors

Rickesh B Karsan¹, Prakash Nanjaiah¹, John Hogan¹, Dheeraj Mehta¹, Michael Stetchman²

Affiliations

¹ Department of Cardiothoracic Surgery, University Hospital of Wales, Cardiff, UK.
² Department of Endocrine Surgery, University Hospital of Wales, Cardiff, UK.

Abstract

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.

Keywords: Aortic valve replacement; Mini-sternotomy; Retrosternal goitre; Thyroidectomy.

Publication types

Case Reports