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(Circulation. 1960;21:90.)
© 1960 American Heart Association, Inc.

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Goitre Plongeant

Intrathoracic Goiter Demonstrated by the Valsalva Maneuver

HENRY T. PERKINS JR. M.D.¹; HENRY D. MCINTOSH M.D.¹; JOHN P. BOINEAU M.D.¹

¹ From the Department of Medicine, Duke University School of Medicine, Durham, N. C.

The diagnosis of an intrathoracic goiter can, on occasion, be difficult to confirm. The Valsalva maneuver was found useful in making this diagnosis in 2 patients whose case histories are reported. Such goiters are termed plunging goiters. The phenomenon is discussed and the use of the Valsalva maneuver in demonstrating such lesions is emphasized.