Thorac Cardiovasc Surg 2010; 58(8): 450-454
DOI: 10.1055/s-0030-1249867
Original Cardiovascular

© Georg Thieme Verlag KG Stuttgart · New York

Combined Cardiac Surgery and Total Thyroidectomy: Our Experience and Review of the Literature

M. Testini1 , E. Poli1 , D. Lardo1 , G. Lissidini1 , A. Gurrado1 , G. Scrascia2 , P. G. Malvindi2 , G. Rubino3 , G. Piccinni1 , L. de Luca Tupputi Schinosa2
  • 1Department of Application in Surgery of Innovative Technologies, Section of General Surgery, University Medical School of Bari, Bari, Italy
  • 2Department of Emergency and Organ Transplantation, Section of Cardiovascular Surgery, University Medical School of Bari, Bari, Italy
  • 3Department of Emergency and Organ Transplantation, Section of Anesthesia and Intensive Care, University Medical School of Bari, Bari, Italy
Weitere Informationen

Publikationsverlauf

received January 18, 2010

Publikationsdatum:
25. November 2010 (online)

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.

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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

Telefon: +39 08 05 59 28 82

Fax: +39 08 05 59 28 82

eMail: mario.testini@chirgen2.uniba.it