Mehra A P, Shah K S, Jain P C, Bhansali S K, Sunawala J D, Gandhi B V, Oswal A, Karatela R A
Breach Candy Hospital and Research Centre, Mumbai, India.
Ann Thorac Surg. 2009 Aug;88(2):661-3. doi: 10.1016/j.athoracsur.2009.01.072.
A 70-year-old Indian woman presented with an acute anterior wall myocardial infarction and a large multinodular goiter causing tracheal compression and dyspnea. Coronary artery angiography revealed severe triple-vessel disease, with an 80% occlusion of the left main stem, necessitating early coronary artery bypass grafting combined with total thyroidectomy. The procedure was performed successfully. At the 1-year follow-up, the patient remains euthyroid and in New York Heart Association functional class I. This case provides further evidence that combined coronary artery bypass grafting and total thyroidectomy is both feasible and safe.
一名70岁的印度女性因急性前壁心肌梗死和巨大多结节性甲状腺肿导致气管受压和呼吸困难前来就诊。冠状动脉造影显示严重的三支血管病变，左主干闭塞80%，需要早期进行冠状动脉旁路移植术并联合全甲状腺切除术。手术成功完成。在1年的随访中，患者甲状腺功能正常，纽约心脏协会心功能分级为I级。该病例进一步证明冠状动脉旁路移植术联合全甲状腺切除术是可行且安全的。
