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Successful operative management of struma cordis obstructing the left ventricular outflow tract

N D Kon1, R N Headley, A R Cordell

  • 1Department of Surgery, Bowman Gray School of Medicine, Wake Forest University Medical Center, Winston-Salem, NC 27103.

The Annals of Thoracic Surgery
|August 1, 1988
PubMed

Insights

Struma cordis, or ectopic thyroid tissue in the heart, is exceptionally rare. This case report details the first known instance of struma cordis obstructing the left ventricular outflow tract, successfully treated with surgery.

Area of Science:

  • Cardiology
  • Endocrinology
  • Surgical Pathology

Background:

  • Ectopic thyroid tissue, known as struma cordis, is an exceedingly rare cardiac anomaly.
  • Thyroid tissue is typically found along the thyroglossal duct's path, making cardiac location highly unusual.

Observation:

  • A rare case of struma cordis was identified.
  • The ectopic thyroid tissue was found to be obstructing the left ventricular outflow tract.

Findings:

  • This represents the first documented case of struma cordis causing left ventricular outflow tract obstruction.
  • Surgical excision of the struma cordis was successfully performed using cardiopulmonary bypass.

Implications:

  • This case expands the known clinical presentations of struma cordis.
  • Successful surgical intervention highlights the feasibility of managing this rare condition.
  • Further research into the embryological origins and management strategies for struma cordis is warranted.

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