Combined Cardiac Surgery and Total Thyroidectomy: Our Experience and Review of the Literature
| Autor: | Giuseppe Scrascia, Giovanni Rubino, D Lardo, Mario Testini, Giuseppe Piccinni, Pietro Giorgio Malvindi, Germana Lissidini, L de Luca Tupputi Schinosa, Angela Gurrado, E Poli |
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| Rok vydání: | 2010 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Critical Care Heart disease Heart Valve Diseases Coronary Artery Disease Disease Risk Assessment law.invention Coronary artery disease law medicine Humans Cardiac Surgical Procedures Aged Goiter business.industry Thyroid disease Thyroid Length of Stay Middle Aged medicine.disease Intensive care unit Surgery Cardiac surgery Treatment Outcome medicine.anatomical_structure Italy Thyroidectomy Female Cardiology and Cardiovascular Medicine business Risk assessment |
| Zdroj: | The Thoracic and Cardiovascular Surgeon. 58:450-454 |
| ISSN: | 1439-1902 0171-6425 |
| DOI: | 10.1055/s-0030-1249867 |
| Popis: | Background The prevalence of thyroid disease in patients with cardiac disease can be as high as 11.2%. Combined thyroid and cardiovascular surgery has rarely been reported. Methods Ten patients (6 female, 4 male, age range 51-73 years) had total thyroidectomy and cardiac surgery in the same procedure in our surgical department. Six patients had coronary artery disease; four patients had valvulopathy. The thyroid goiter was retrosternal in 6 patients. Results Mean stay in the intensive care unit was 46.4 hours; the postoperative course was complicated by transient right laryngeal nerve palsy in one case and by transient hypocalcemia in the patients in whom a parathyroid autotransplantation was performed (n = 3). There was one case of hemodynamic compromise needing vasoactive drug support; the mean hospital stay was 8.4 days. Conclusions Our experience and our review of the literature suggest that a single-stage procedure is safe and feasible and must be preferred to different operations as it has an acceptable peri-operative and anesthesiological risk. |
| Databáze: | OpenAIRE |
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