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10.5606/tgkdc.dergisi.2012.122
Combined cardiac surgery and substernal thyroidectomy
Selami Gürkan1, Serhat Hüseyin1, Atilla Saraç2, Turan Ege1, Enver Duran1
1Department of Cardiovascular Surgery, Medical Faculty of Trakya University, Edirne, Turkey
2Department of Cardiovascular Surgery, Mehmet Aydın Training and Research Hospital, Samsun, Turkey
DOI : 10.5606/tgkdc.dergisi.2012.122
Excessive growth of the thyroid gland is frequently
associated with multinodular goiter. Shifting of mediastinal
structures and large airway obstruction via extrinsic
compression by a mass effect can lead to additional
surgical problems. In November 2008, a 65-year-old
male patient with unstable angina pectoris was admitted
to our clinic for coronary artery bypass grafting. A
retrosternal mass lying over the ascending aorta precluded
cannulation. After the resection of retrosternal goiter,
cardiopulmonary bypass was performed with single right
atrial and ascending aortic cannulation. Combined cardiac
surgery and thyroidectomy can be safely performed if the
preoperative thyroid hormone levels are maintained in the
euthyroid state.
Keywords : Cardiac surgery; substernal goitre; thyroidectomy
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