Annals of Thoracic and Cardiovascular Surgery
Online ISSN : 2186-1005
Print ISSN : 1341-1098
ISSN-L : 1341-1098
A Case of a Retroesophageal Parathyroid Adenoma with an Aberrant Right Subclavian Artery: A Potential Surgical Pitfall
Takeo NakadaTadashi AkibaTakuya InagakiHideki MarushimaToshiaki MorikawaTakao Ohki
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JOURNALS OPEN ACCESS Advance online publication

Article ID: cr.12.02124

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Abstract

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. 99mTc-methoxyisobutylisonitrile scintigram and enhanced chest computed tomography (CT) revealed a mediastinal tumor measuring 25 × 15 × 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.

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© 2013 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

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