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A giant retrosternal goiter with severe tracheal compression and superior vena cava syndrome: an operative experience.

The peculiarities in the operation of a giant retrosternal goiter with severe tracheal compression and superior vena cava syndrome are highlighted in this report of a 53 year-old female with a large anterior neck swelling interfering with normal breathing and swallowing. From the initiation of the neck incision, mobilization of the gland and performing the subtotal excisions there was troublesome bleeding. Pneumothorax resulting after delivery of the massive retrosternal portion was managed with an underwater-seal drainage tube.