Abstract
Intrathoracic goiter is a relatively rare benign finding, leading often to dyspnea and dysphagia. Imaging methods are of a great importance for the diagnosis. Surgery and total thyroidectomy are the treatment of choice. We present a case of a 72-year-old woman with dysphagia, shortness of breath and fatigue. We observed an increase in both thyroid lobes with retrosternal evolution, descending to the pulmonary artery to the right, and to the aortic arch to the left, with compression of the trachea, brachiocephalic veins and vena cava superior. We performed total thyroidectomy through combined cervical-anterior thoracic right-sided access. Surgical treatment for intrathoracic goiter with or without clinical symptoms is always indicated and should be performed as soon as possible.