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Title: Preoperative Localization of Mediastinal Parathyroid Adenoma with Intra-arterial Methylene Blue

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.

Authors:
;  [1]; ; ;  [2];  [1]
  1. American University of Beirut Medical Center, Department of Diagnostic Radiology (Lebanon)
  2. American University of Beirut Medical Center, Department of General Surgery (Lebanon)
Publication Date:
OSTI Identifier:
22645180
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 6; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ADENOMAS; ARTERIES; AVAILABILITY; HYPERPARATHYROIDISM; INFUSION; INJECTION; METHYLENE BLUE; PATIENTS

Citation Formats

Salman, Rida, Sebaaly, Mikhael G., Wehbe, Mohammad Rachad, Sfeir, Pierre, Khalife, Mohamad, and Al-Kutoubi, Aghiad, E-mail: mk00@aub.edu.lb. Preoperative Localization of Mediastinal Parathyroid Adenoma with Intra-arterial Methylene Blue. United States: N. p., 2017. Web. doi:10.1007/S00270-017-1578-4.
Salman, Rida, Sebaaly, Mikhael G., Wehbe, Mohammad Rachad, Sfeir, Pierre, Khalife, Mohamad, & Al-Kutoubi, Aghiad, E-mail: mk00@aub.edu.lb. Preoperative Localization of Mediastinal Parathyroid Adenoma with Intra-arterial Methylene Blue. United States. doi:10.1007/S00270-017-1578-4.
Salman, Rida, Sebaaly, Mikhael G., Wehbe, Mohammad Rachad, Sfeir, Pierre, Khalife, Mohamad, and Al-Kutoubi, Aghiad, E-mail: mk00@aub.edu.lb. Thu . "Preoperative Localization of Mediastinal Parathyroid Adenoma with Intra-arterial Methylene Blue". United States. doi:10.1007/S00270-017-1578-4.
@article{osti_22645180,
title = {Preoperative Localization of Mediastinal Parathyroid Adenoma with Intra-arterial Methylene Blue},
author = {Salman, Rida and Sebaaly, Mikhael G. and Wehbe, Mohammad Rachad and Sfeir, Pierre and Khalife, Mohamad and Al-Kutoubi, Aghiad, E-mail: mk00@aub.edu.lb},
abstractNote = {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.},
doi = {10.1007/S00270-017-1578-4},
journal = {Cardiovascular and Interventional Radiology},
number = 6,
volume = 40,
place = {United States},
year = {Thu Jun 15 00:00:00 EDT 2017},
month = {Thu Jun 15 00:00:00 EDT 2017}
}