Middle mediastinal parathyroid: diagnosis and surgical approach

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Presentation transcript:

Middle mediastinal parathyroid: diagnosis and surgical approach Robin P Boushey, MD, Thomas R.J Todd, MD The Annals of Thoracic Surgery Volume 71, Issue 2, Pages 699-701 (February 2001) DOI: 10.1016/S0003-4975(00)02348-1

Fig 1 Artist’s rendition of the surgical approach illustrating complete exposure of the subcarinal space and right pulmonary artery after lateral retraction of the superior vena cava and aortic arch. In both patients a parathyroid gland was identified just above the right pulmonary artery lying on the anterior aspect of the proximal left main stem bronchus. The Annals of Thoracic Surgery 2001 71, 699-701DOI: (10.1016/S0003-4975(00)02348-1)

Fig 2 Intraoperative photograph demonstrating the surgical exposure obtained at the time of tracheal resection. A similar exposure was used to resect ectopic parathyroid tissue after identification of important landmark structures including the following: A = right pulmonary artery; B = trachea; C = left main bronchus; D = superior vena cava. The Annals of Thoracic Surgery 2001 71, 699-701DOI: (10.1016/S0003-4975(00)02348-1)