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(Chest. 1969;56:519-523.)
© 1969 American College of Chest Physicians

Superior Vena Caval System Obstruction Caused by Benign Endothoracic Goiter

Gerald E. Silverstein M.D.1; Gerald Burke M.D.2; David Goldberg M.D.3; and Arlene Halko M.S.4

1 Assistant Director, Radioisotope Laboratory, Department of Medicine, Michael Reese Hospital and Medical Center
2 Director, Radioisotope Laboratory, Department of Medicine, Michael Reese Hospital and Medical Center
3 Resident, Department of Radiology, Michael Reese Hospital and Medical Center
4 Biophysicist, Radioisotope Laboratory, Michael Reese Hospital and Medical Center

The superior vena caval syndrome caused by a substernal thyroid is a rare occurrence. It can, However, result from external compression of the superior vena cava or innominate veins by an intrathoracic goiter. This report details such a case in which innominate vein occlusion was documented both by conventional venography and by a new technique utilizing a radionuclide (sodium pertechnetate 99mTc) and the scintillation camera.






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Copyright © 1969 by the American College of Chest Physicians.