Combined cardiac surgery and total thyroidectomy: Our experience and review of the literature

M. Testini, E. Poli, D. Lardo, G. Lissidini, A. Gurrado, G. Scrascia, P. G. Malvindi, G. Rubino, G. Piccinni, L. De Luca Tupputi Schinosa

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)450-454
Number of pages5
JournalThoracic and Cardiovascular Surgeon
Issue number8
Publication statusPublished - 2010


  • cardiovascular surgery
  • heart disease
  • thyroid surgery
  • total thyroidectomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine


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