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Updated: Jun 21, 2026
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
Insights
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.
Abstract:
A 70-year-old Indian woman presented with an acute anterior wall myocardial infarction and a large multinodular goiter causing tracheal compression and dyspnea. Coronary artery angiography revealed severe triple-vessel disease, with an 80% occlusion of the left main stem, necessitating early coronary artery bypass grafting combined with total thyroidectomy. The procedure was performed successfully. At the 1-year follow-up, the patient remains euthyroid and in New York Heart Association functional class I. This case provides further evidence that combined coronary artery bypass grafting and total thyroidectomy is both feasible and safe.
