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Multinodular Goiter Compressing the Trachea Following Open Heart Surgery

Division of Cardiothoracic Surgery
¹ Division of Cardiac Anesthesiology
² Division of Surgical Oncology
³ Division of Pulmonology, Care Hospital, Institute of Medical Sciences, Hyderabad, India

For reprint information contact: Gopi C Mannam, FRCS Tel: 91 40 5566 1935 Fax: 91 40 5562 5003 Email: gmannam{at}yahoo.com, Division of Cardiothoracic Surgery, Care Hospital, The Institute of Medical Sciences, Road No. 1, Banjara Hills, Hyderabad 500 034, Andhra Pradesh, India.

Acute hemorrhage into an adenomatous goiter following cardiac surgery is a rare cause of acute upper airway obstruction. We report an unusual presentation of respiratory distress in a patient with goiter recovering from open heart surgery, which was successfully treated by left hemithyroidectomy. A mandatory evaluation of the upper trachea in patients with long-standing benign goiter is recommended prior to cardiac surgery.