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<p>A retrosternal goitre is generally defined as a thyroid mass in which 50% or more of its volume is located below the thoracic inlet. This can also be called as intra thoracic goitre. Retrosternal goitre is a very rare condition which account for 5 to 20% of thyroidectomy patients.</p><p>We present the case of a 52-year-old female who presented to the emergency department with acute onset dyspnoea and chest pain, raising initial suspicion of an acute coronary syndrome. On Further investigation, revealed a massive retrosternal goitre as the underlying cause of her symptoms. She underwent thyroidectomy with sternotomy, with complete resolution of symptoms after surgery.</p><p>This case highlights the importance of considering non-cardiac aetiologies, when evaluating chest pain and dyspnoea.</p>

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When Thyroid Meets Heart- A Rare Case of Giant Thyroid Goitre Imitating Acute Coronary Syndrome

  • 期刊论文

  • 发表日期：

    2025年8月19日

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  • Tejashri Shivaji Aher,
  • Maheshkumar P. Nikam

摘要

A retrosternal goitre is generally defined as a thyroid mass in which 50% or more of its volume is located below the thoracic inlet. This can also be called as intra thoracic goitre. Retrosternal goitre is a very rare condition which account for 5 to 20% of thyroidectomy patients.

We present the case of a 52-year-old female who presented to the emergency department with acute onset dyspnoea and chest pain, raising initial suspicion of an acute coronary syndrome. On Further investigation, revealed a massive retrosternal goitre as the underlying cause of her symptoms. She underwent thyroidectomy with sternotomy, with complete resolution of symptoms after surgery.

This case highlights the importance of considering non-cardiac aetiologies, when evaluating chest pain and dyspnoea.