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
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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 -