Report of a rare case of anterior mediastinum goiter

Tabatabai SA1, Hashemi SM2, Ahmadinejad M3 1. Associate Professor, Department of Thoracic Surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital 2. Assistant Professor, Department of Thoracic surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital 3. Assistant Professor, Lorestan University of Medical Sciences, and Resident of Thoracic Surgery, Esfahan University of Medical Sciences, Al –Zahra Hospital Abstract Background: The primary ectopic goiters of mediastinum, specially of posterior mediastinum is rare and estimated on 1% of the goiters of retro sternal and mediastinum and their blood supplies is from intra thoracic vessels. Case presentation: We introduce a patient who referred with the complain of a huge mass in the anterior medistinum. His complain presented by dyspnea breathlessness and chronic cough at first. This mass was removed easily through collar incision and partial strernotomy. Throught surgery we found that blood supply of mass arised from thoracic vessels and inominate artery, with drainage to inominate vien. Following mass removal, all the symptoms of the patient were resolved. Conclusion: we presented an uncommon true primary ectopic mediastinal goiter resected through a median strnotomy with complete excision and relief of all symptoms.