Thorac Cardiovasc Surg 2008; 56(1): 60-62
DOI: 10.1055/s-2006-924622
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Mediastinal Ectopic Parathyroid Adenoma: Report of Two Cases Successfully Treated by VATS Approach

H. Akin1 , Z. Gunluoglu1 , V. Kara1 , H. Melek1 , I. Dincer1
  • 1Yedikule Teaching Hospital for Chest Diseases and Chest Surgery Balikli Yolu, Zeytinburnu, Istanbul, Turkey
Further Information

Publication History

Received June 11, 2006

Publication Date:
17 January 2008 (online)

Introduction

The first documented resection of a mediastinal parathyroid adenoma was performed at the Massachusetts General Hospital in 1932, when a sea captain, Charles Martell, underwent his seventh operation for persistent hyperparathyroidism [[1]]. Ectopic mediastinal parathyroid adenomas are found in up to 25 % of patients with primary hyperparathyroidism (pHPT) [[2]]. However, only 2 % of ectopic parathyroid adenomas are not accessible using a standard cervical excision due to their location. Until recently, these lesions were treated with means of a transsternal or transthoracic approach using either sternotomy or thoracotomy. Because these operations have a high rate of morbidity [[2]], some authors advocate the use of video-assisted thoracoscopic surgery (VATS) or video-assisted mediastinoscopic surgery (VAMS) as more gentle, minimally invasive procedures. We report two cases with ectopic mediastinal parathyroid adenomas that were successfully treated by VATS.

References

Dr. Hasan Akin

Yedikule Teaching Hospital for Chest Diseases and Chest Surgery

Balikli Yolu

Zeytinburnu

34670 Istanbul

Turkey

Email: akinhasan@gmail.com