Fukushima Y, Onitsuka T, Araki K, Sugimoto H, Nakamura K, Kuwahara M, Yonezawa T, Shibata K, Koga K
Second Department of Surgery, Miyazaki Medical College.
Kyobu Geka. 1990 Nov;43(12):1015-8.
A case of open heart surgery of Basedow's disease was presented. A 46-year-old female was admitted for mitral regurgitation with heart failure. She suffered from Basedow's disease ten years ago, and was treated with MMI. With this treatment, her thyroid function became normal and did well over the last four years. When open heart surgery (MVR) was performed, examination of her thyroid gland revealed mild hypothyroidism, and the operation could be performed without any thyroidal trouble. We conclude, in case of heart disease with Basedow's disease, the operation can be performed without any thyroidal trouble if the thyroid function is controlled well to euthyroid for a long term. Euthyroid condition lasted 4 years in this case.
本文报告了一例基于格雷夫斯病（Graves病）的心脏直视手术病例。一名46岁女性因二尖瓣反流伴心力衰竭入院。她十年前患格雷夫斯病，曾接受甲巯咪唑（MMI）治疗。经过这种治疗，她的甲状腺功能恢复正常，并且在过去四年中情况良好。当进行心脏直视手术（二尖瓣置换术，MVR）时，对她的甲状腺检查发现有轻度甲状腺功能减退，手术得以在没有任何甲状腺问题的情况下进行。我们得出结论，对于患有格雷夫斯病的心脏病患者，如果甲状腺功能长期控制在正常甲状腺状态，手术可以在没有任何甲状腺问题的情况下进行。该病例中正常甲状腺状态持续了4年。
