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The authors present a case report of a 64 year old male patient with thyroid mass and extensive secondaries of the neck and infiltration of the trachea producing severe tracheal stenosis at the level of the thoracic inlet presenting with stridor. Due to the large mass, endotracheal intubation was ruled out; hence a femoro-femoral Cardiopulmonary Bypass was done followed by a median sternotomy, resection of the involved tracheal segment, a total thyroidectomy with neck dissection and finally a tracheal end-to-end anastomosis. The surgery was done in May 2011.
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