Thoracoscopic removal of a maternal mediastinal ectopic parathyroid adenoma causing neonatal hypocalcemia: a case report

Ann Thorac Cardiovasc Surg. 2008 Oct;14(5):325-8.

Abstract

Most parathyroid glands in hyperparathyroidism can be resected through a cervical approach. In approximately 2% of cases, the ectopic gland is in the mediastinum in a location that requires a thoracic approach. Advancement in video-assisted thoracoscopic surgical (VATS) techniques has decreased the need for sternotomy to successfully remove these ectopic glands. We describe a case involving a 29-year-old woman with hyperparathyroidism resulting from an ectopic mediastinal parathyroid adenoma that caused neonatal hypocalcemia, which was removed through VATS.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / complications
  • Adenoma / pathology
  • Adenoma / surgery*
  • Adult
  • Choristoma / pathology
  • Choristoma / surgery*
  • Female
  • Humans
  • Hyperparathyroidism, Primary / etiology
  • Hyperparathyroidism, Primary / surgery
  • Hypocalcemia / etiology*
  • Hypocalcemia / therapy
  • Infant, Newborn
  • Infant, Newborn, Diseases / etiology*
  • Infant, Newborn, Diseases / therapy
  • Magnetic Resonance Imaging
  • Mediastinal Neoplasms / complications
  • Mediastinal Neoplasms / pathology
  • Mediastinal Neoplasms / surgery*
  • Parathyroid Glands*
  • Parathyroid Neoplasms / complications
  • Parathyroid Neoplasms / pathology
  • Parathyroid Neoplasms / surgery*
  • Pregnancy
  • Pregnancy Complications, Neoplastic / pathology
  • Pregnancy Complications, Neoplastic / surgery*
  • Thoracic Surgery, Video-Assisted*
  • Tomography, Emission-Computed, Single-Photon
  • Treatment Outcome