ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
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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