Koçak H, Becit N, Erkut B, Kaygin M
Department of Cardiovascular Surgery, Atatürk University Medical Faculty, Erzurum, Turkey.
Thorac Cardiovasc Surg. 2007 Feb;55(1):56-8. doi: 10.1055/s-2006-924105.
A 47-year-old male was admitted to our clinic with the complaints of chest pain, limitation of cervical movements, progressive dyspnea, and painless cervical mass. The cervical mass dimensions were approximately 15 x 20 x 25 cm. Laboratory studies revealed a recurrent hyperthyroid state. After the thyroid hormones were maintained in a euthyroid condition, a coronary angiogram was made. It revealed progressive ischemic heart disease. Combined cardiac surgery and total thyroidectomy were performed. The postoperative course was uneventful without any of the problems associated with hyperthyroidism or hypothyroidism. Combined thyroid and cardiac surgery is feasible with little risk for both operations if the perioperative levels of the thyroid hormone are maintained in a euthyroid or hypothyroid state.
一名47岁男性因胸痛、颈部活动受限、进行性呼吸困难及无痛性颈部肿块前来我院就诊。颈部肿块大小约为15×20×25厘米。实验室检查显示为复发性甲状腺功能亢进状态。在甲状腺激素维持在甲状腺功能正常状态后，进行了冠状动脉造影。结果显示为进行性缺血性心脏病。遂行心脏联合手术及甲状腺全切除术。术后过程顺利，未出现任何与甲状腺功能亢进或减退相关的问题。如果围手术期甲状腺激素水平维持在甲状腺功能正常或减退状态，甲状腺与心脏联合手术是可行的，且两种手术的风险都很小。
