Abstract
Recent literature has highlighted the successful use of extracorporeal membrane oxygenation (ECMO) in severe airway obstruction due to mediastinal mass when all other conventional management options have failed.1, 2 However, this case report of a massive retrosternal goiter (RSG) highlights that mechanical circulatory support (ie, ECMO or cardiopulmonary bypass [CPB]) may not be possible in all cases of severe airway obstruction. The authors describe an approach to mediastinal masses that mitigates the risk of airway loss and cardiovascular collapse—a crucial objective for cases in which CPB is not a viable rescue option. Written patient consent for publication of this case was obtained.
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