Large substernal thyroid goiter associated with saddle pulmonary embolism

Daniel W. Nelson, Melissa LoPinto, Charif Sidani, John I. Lew

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


A 75-year-old woman with a longstanding history of a substernal thyroid goiter presented with acute shortness of breath, and she was intubated due to respiratory distress. Computed tomography (CT) scan revealed a compressive substernal goiter with associated vascular compression, axillosubclavian thrombosis, and saddle pulmonary embolism. Weight-based heparin was immediately administered, and the patient subsequently underwent successful thyroidectomy via a cervical incision. This case report of a rare saddle pulmonary embolism associated with a substernal thyroid goiter underscores the importance of early elective thyroidectomy. Successful management of these potentially devastating pulmonary emboli (PE) associated with large substernal goiters is possible.

Original languageEnglish (US)
Pages (from-to)214-216
Number of pages3
JournalWorld Journal of Endocrine Surgery
Issue number3
StatePublished - Sep 1 2016


  • Cervical thyroidectomy
  • Saddle pulmonary embolism
  • Substernal goiter
  • Thromboemboilc disease

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Radiology Nuclear Medicine and imaging


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