Abstract
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 5173 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 46.4hours; 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.
| Original language | English |
|---|---|
| Pages (from-to) | 450-454 |
| Number of pages | 5 |
| Journal | Thoracic and Cardiovascular Surgeon |
| Volume | 58 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - 2010 |
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Keywords
- cardiovascular surgery
- heart disease
- thyroid surgery
- total thyroidectomy
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
- Pulmonary and Respiratory Medicine
Cite this
Combined cardiac surgery and total thyroidectomy : Our experience and review of the literature. / Testini, M.; Poli, E.; Lardo, D.; Lissidini, G.; Gurrado, A.; Scrascia, G.; Malvindi, P. G.; Rubino, G.; Piccinni, G.; De Luca Tupputi Schinosa, L.
In: Thoracic and Cardiovascular Surgeon, Vol. 58, No. 8, 2010, p. 450-454.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Combined cardiac surgery and total thyroidectomy
T2 - Our experience and review of the literature
AU - Testini, M.
AU - Poli, E.
AU - Lardo, D.
AU - Lissidini, G.
AU - Gurrado, A.
AU - Scrascia, G.
AU - Malvindi, P. G.
AU - Rubino, G.
AU - Piccinni, G.
AU - De Luca Tupputi Schinosa, L.
PY - 2010
Y1 - 2010
N2 - 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 5173 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 46.4hours; 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.
AB - 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 5173 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 46.4hours; 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.
KW - cardiovascular surgery
KW - heart disease
KW - thyroid surgery
KW - total thyroidectomy
UR - http://www.scopus.com/inward/record.url?scp=78649519346&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78649519346&partnerID=8YFLogxK
U2 - 10.1055/s-0030-1249867
DO - 10.1055/s-0030-1249867
M3 - Article
C2 - 21110265
AN - SCOPUS:78649519346
VL - 58
SP - 450
EP - 454
JO - Thoracic and Cardiovascular Surgeon
JF - Thoracic and Cardiovascular Surgeon
SN - 0171-6425
IS - 8
ER -