Fig 2.
Functional and anatomical localization studies for patient with persistent phpt due to adenoma in right tracheoesophageal (TE) groove. (A) Parathyroid arterial stimulation venous sampling. Samples obtained from catheter placed in the superior vena cava. A pronounced (5-fold) step-up in parathyroid hormone (PTH) is demonstrated after sodium citrate (hypocalcemic stimulation) injection of right thyrocervical arterial bed. (B) and (C) Hypervascular mass (arrows) consistent with right TE-groove parathyroid adenoma demonstrated on computed tomography (B) and digitally subtracted arteriogram (C).
