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DOI: 10.1055/s-0030-1249867
© Georg Thieme Verlag KG Stuttgart · New York
Combined Cardiac Surgery and Total Thyroidectomy: Our Experience and Review of the Literature
Publication History
received January 18, 2010
Publication Date:
25 November 2010 (online)
![](https://www.thieme-connect.de/media/thoracic/201008/lookinside/thumbnails/10.1055-s-0030-1249867-1.jpg)
Abstract
Background: The prevalence of thyroid disease in patients with cardiac disease can be as high as 11.2 %. Combined thyroid and cardiovascular surgery has rarely been reported. Methods: Ten patients (6 female, 4 male, age range 51–73 years) had total thyroidectomy and cardiac surgery in the same procedure in our surgical department. Six patients had coronary artery disease; four patients had valvulopathy. The thyroid goiter was retrosternal in 6 patients. Results: Mean stay in the intensive care unit was 46.4 hours; the postoperative course was complicated by transient right laryngeal nerve palsy in one case and by transient hypocalcemia in the patients in whom a parathyroid autotransplantation was performed (n = 3). There was one case of hemodynamic compromise needing vasoactive drug support; the mean hospital stay was 8.4 days. Conclusions: Our experience and our review of the literature suggest that a single-stage procedure is safe and feasible and must be preferred to different operations as it has an acceptable peri-operative and anesthesiological risk.
Key words
cardiovascular surgery - heart disease - thyroid surgery - total thyroidectomy
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Prof. Mario Testini, MD
Department of Application in Surgery of Innovative Technologies
Section of General Surgery
University Medical School of Bari
Policlinico
Piazza G. Cesare
70124 Bari
Italy
Phone: +39 08 05 59 28 82
Fax: +39 08 05 59 28 82
Email: mario.testini@chirgen2.uniba.it