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Hyperthyroid Induced Cardiac Failure Requiring Intra-Aortic Balloon Pump during Thyroidectomy

Journal of Endocrine Surgery 2021년 21권 1호 p.38 ~ 40
Toy Elliot, Monreal Alberto, Reza Joseph Arturo, Portoghese Joseph D.,
소속 상세정보
 ( Toy Elliot ) - AdventHealth Orlando General Surgery Residency Program
 ( Monreal Alberto ) - AdventHealth Orlando General Surgery Residency Program
 ( Reza Joseph Arturo ) - AdventHealth Orlando General Surgery Residency Program
 ( Portoghese Joseph D. ) - AdventHealth Orlando General Surgery Residency Program

Abstract


Hyperthyroid states can negatively impact cardiac function and exacerbate cardiac failure. In cases refractory to medical management, thyroidectomy may be indicated. However, the myocardial depressive effects of inhaled anesthetics in addition to hemodynamic lability of induction, complicate operative planning. While other institutions have published their experience utilizing local anesthesia and sedation during thyroidectomy, this requires agreement with the patient to employ that strategy. We report a case of a patient with refractory hyperthyroidism and exacerbated cardiac failure who underwent thyroidectomy after intra-aortic balloon pump placement given his reluctance to proceed utilizing local anesthesia and monitored anesthesia care.

키워드

Hyperthyroidism; Heart failure

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