Preoperative Localization of Mediastinal Parathyroid Adenoma with Intra-arterial Methylene Blue
Loading...
Date
Journal Title
Journal ISSN
Volume Title
Publisher
Springer New York LLC
Abstract
Ectopic parathyroid is found in 16% of patients with hyperparathyroidism. 2% of ectopic parathyroid adenomas are not accessible to standard cervical excision. In such cases, video-assisted thoracoscopic resection is the recommended definitive treatment. We present a case of mediastinal parathyroid adenoma localized preoperatively by injecting methylene blue within a branch of the internal mammary artery that is supplying the adenoma. Intra-arterial methylene blue injection facilitated visualization and resection of the adenoma. The preoperative intra-arterial infusion of methylene blue appears to be an effective and safe method for localization of ectopic mediastinal parathyroid adenomas and allows rapid identification during thoracoscopic resection. © 2017, Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
Description
Keywords
Ectopic parathyroid, Methylene blue, Parathyroid adenoma, Angiography, digital subtraction, Female, Humans, Male, Mediastinal neoplasms, Middle aged, Parathyroid glands, Parathyroid neoplasms, Preoperative care, Calcium, Magnesium, Methoxy isobutyl isonitrile technetium tc 99m, Parathyroid hormone, Phosphorus, Vitamin d, Adult, Angiography, Article, Calcium blood level, Cancer surgery, Case report, Excision, Histopathology, Human, Human tissue, Hypercalcemia, Hypertrophic obstructive cardiomyopathy, Internal mammary artery, Mediastinum tumor, Nephrolithiasis, One lung ventilation, Parathyroid hormone blood level, Parathyroidectomy, Phosphate blood level, Preoperative evaluation, Primary hyperparathyroidism, Priority journal, Tumor localization, Vitamin blood level, Diagnostic imaging, Digital subtraction angiography, Parathyroid gland, Parathyroid tumor, Procedures