Combined cardiac surgery and substernal thyroidectomy

Selami Gürkan; Serhat Hüseyin; Atilla Saraç; Turan Ege; Enver Duran

doi:10.5606/tgkdc.dergisi.2012.122

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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