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Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Combined off-pump coronary artery bypass grafting and thyroidectomy
A P Mehra1, K S Shah, P C Jain
1Breach Candy Hospital and Research Centre, Mumbai, India. drarunmehra@hotmail.com
The Annals of Thoracic Surgery
|July 28, 2009
Summary
This case study shows that combining coronary artery bypass grafting (CABG) and total thyroidectomy is a safe and feasible treatment for patients with severe heart disease and goiter. The patient recovered well, remaining euthyroid and asymptomatic.
Area of Science:
- Cardiology
- Endocrinology
- Surgical Innovation
Background:
- A 70-year-old woman presented with acute myocardial infarction and a large goiter causing respiratory distress.
- Severe triple-vessel disease, including left main coronary artery stenosis, was diagnosed.
- Tracheal compression from the goiter complicated the cardiac condition.
Observation:
- The patient underwent a successful combined coronary artery bypass grafting and total thyroidectomy.
- The surgical procedure addressed both critical coronary artery disease and obstructive goiter.
Findings:
- The patient experienced a successful recovery post-surgery.
- One-year follow-up confirmed the patient remained euthyroid and in New York Heart Association functional class I.
Implications:
- This case supports the feasibility and safety of combined CABG and total thyroidectomy.
- This combined approach may be a viable option for select patients with concurrent cardiac and thyroid pathologies.
