{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:47Z","timestamp":1782384647784,"version":"3.54.5"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Substernal goiter consists of thyroid tissue extending into the thoracic cavity and is more common in females. Total thyroidectomy is standard, though some cases require advanced approaches. Cardiopulmonary bypass (CPB) may be considered in selected cases for hemodynamic stability. We aimed to describe a rare case of retrotracheal thyroid goiter managed using CPB and review reported surgical approaches. A 39-year-old male presented with hoarseness and palpitations due to a left-sided retrotracheal thyroid goiter. Initial cervical access was unsuccessful, requiring median sternotomy with CPB for safe resection. Histopathology confirmed a benign follicular nodule, and the postoperative course was uneventful. CPB can be a valuable adjunct in complex retrotracheal substernal goiters, highlighting the importance of individualized surgical planning and a multidisciplinary approach.<\/jats:p>","DOI":"10.1093\/jscr\/rjag214","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:45:28Z","timestamp":1781178328000},"source":"Crossref","is-referenced-by-count":0,"title":["Utilization of cardiopulmonary bypass for resection of a massive left retrotracheal thyroid goiter: a case report and review of literature at a tertiary care hospital in Saudi Arabia"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3815-2290","authenticated-orcid":false,"given":"Maya A","family":"Alharbi","sequence":"first","affiliation":[{"name":"Medical Student, King Abdulaziz University Hospital , 21589, Jeddah, Makkah province ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghad A","family":"Ghazzawi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery , King Faisal Specialist Hospital and Research Centre, 23431, Al Rawdah District, Jeddah, Makkah province ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A","family":"Jamjoom","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Section, King Faisal Specialist Hospital and Research Centre 23431 , Al Rawdah District, Jeddah, Makkah province ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C","family":"Heaphy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head & Neck Surgery, King Faisal Specialist Hospital and Research Centre , 23431, Al Rawdah District, Jeddah, Makkah province ,","place":["Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,14]]},"reference":[{"key":"2026062506235026200_ref1","doi-asserted-by":"publisher","first-page":"e25827","DOI":"10.7759\/cureus.25827","article-title":"A monster in the chest: a tale of a goiter","volume":"14","author":"Sandasecra","year":"2022","journal-title":"Cureus"},{"key":"2026062506235026200_ref2","doi-asserted-by":"publisher","first-page":"176","DOI":"10.4103\/jfcm.jfcm_263_23","article-title":"Multinodular goiter with a retropharyngeal extension: a report of two cases and literature review","volume":"31","author":"Alqahtani","year":"2024","journal-title":"J Family Community Med"},{"key":"2026062506235026200_ref3","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.ijscr.2019.08.016","article-title":"Huge toxic goiter extending to the posterior mediastinum; case report with literature review","volume":"62","author":"Abdullah","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2026062506235026200_ref11","volume-title":"Substernal Goiter","author":"Can","year":"2025"},{"key":"2026062506235026200_ref4","doi-asserted-by":"publisher","first-page":"370","DOI":"10.4183\/aeb.2017.370","article-title":"Emergency surgical tracheal decompression in a huge retrosternal goiter","volume":"13","author":"Nistor","year":"2017","journal-title":"Acta Endocrinol (Buchar)"},{"key":"2026062506235026200_ref5","doi-asserted-by":"publisher","first-page":"e51967","DOI":"10.7759\/cureus.51967","article-title":"Total thyroidectomy by median sternotomy for treatment of substernal goiter: a case report","volume":"16","author":"Ferreira","year":"2024","journal-title":"Cureus"},{"key":"2026062506235026200_ref6","doi-asserted-by":"publisher","first-page":"e228095","DOI":"10.1136\/bcr-2018-228095","article-title":"Acute airway obstruction due to benign multinodular goitre","volume":"12","author":"Dias","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2026062506235026200_ref7","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1093\/icvts\/ivs339","article-title":"Retrosternal goiter located in the mediastinum: surgical approach and operative difficulties","volume":"15","author":"Kacprzak","year":"2012","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2026062506235026200_ref8","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/j.ijscr.2014.05.015","article-title":"An unusual recurrent bilateral posterior mediastinal goiter after subtotal thyroidectomy: case report","volume":"5","author":"Aziret","year":"2014","journal-title":"Int J Surg Case Rep"},{"key":"2026062506235026200_ref9","doi-asserted-by":"publisher","first-page":"524","DOI":"10.5761\/atcs.cr.10.01628","article-title":"Single-stage operation for giant substernal goiter with severe coronary artery disease","volume":"17","author":"Wexler","year":"2011","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2026062506235026200_ref10","doi-asserted-by":"publisher","first-page":"1246","DOI":"10.1111\/j.1365-2044.2009.06062.x","article-title":"Temporary extracorporeal jugulosaphenous bypass for the peri-operative management of patients with superior vena caval obstruction: a report of three cases","volume":"64","author":"Radauceanu","year":"2009","journal-title":"Anaesthesia"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag214\/68609864\/rjag214.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag214\/68609864\/rjag214.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:24:29Z","timestamp":1782383069000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag214\/8707716"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag214","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag214"}}