Current Thoracic Surgery
2020 , Vol 5 , Issue 1
Videothoracoscopic resection of a posterior mediastinal parathyroid adenoma in a patient with aberrant subclavian artery
Current Thoracic Surgery 2020;5(1):050-053. (27 January 2020)
1Dr. Suat Seren Chest Disease and Thoracic Surgery Training and Research Hospital, Department of Thoracic Surgery, Izmir, Turkey
DOI : 10.26663/cts.2020.00010
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Approximately 25% of the patients have an ectopic location of the parathyroid gland. In some cases, hyperfunctional parathyroid glands may extend into the mediastinum that requires mediastinal surgical exploration. A 66 years old woman presented with fatigue and raised serum calcium and parathormone levels. Thorax computed tomography revealed a mediastinal mass and an aberrant right subclavian artery (ARSA) which is the most common vascular anomaly of the aortic arch was demonstrated. The mediastinal mass was evaluated in favor of parathyroid adenoma by parathyroid scintigraphy. Videothoracoscopic resection of the adenoma was performed safely.
Keywords : videothoracoscopy, parathyroid adenoma, aberrant subclavian artery