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Case Report | DOI: https://doi.org/CCSRR-CR-25-026.

Femoral Vein-Femoral Vein VV-ECMO-Assisted Anesthesia for Giant Retrosternal Goiter Surgery: A Case Report

Yongjia Zheng, *

The First School of Clinical Medicine,  China

*Corresponding Author: Yongjia Zheng,The First School of Clinical Medicine , China

Citation: Yongjia Zheng,The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, P R China

Copyright: Yongjia Zheng, et al © (2024). This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Received: 28 March 2025 | Accepted: 02 April 2025 | Published: 10 April 2025

Keywords: airway stenosis; goiter

Abstract

Background: Managing giant retrosternal goiters that cause severe airway stenosis and vascular compression presents significant challenges for anesthetic teams. This case report describes the anesthetic management of a patient undergoing resection of a giant retrosternal goiter with femoral vein-femoral vein venovenous extracorporeal membrane oxygenation (VV-ECMO) support.

Case presentation: A 51-year-old woman presented with a two-year history of anterior neck enlargement and progressively worsening dyspnea over a period of seven months.

Preoperative imaging revealed a right thyroid lobe measuring 57 × 57 mm, extending into the mediastinum and compressing the trachea to a minimum diameter of 2.46 mm. A multidisciplinary team recommended thyroid resection with VV-ECMO support. The procedure was successfully completed, and ECMO was weaned postoperatively. The patient was discharged on postoperative day 15, experiencing no major complications.

 

References

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