[A case with Graves' disease whose TBII index was decreased after heart surgery].
This case report describes a patient with Graves' disease who underwent heart surgery and we studied changes in thyroid hormone and antithyroid autoantibodies. TBII index of this case, which was high value before surgery, was decreased after surgery for two years, and the patient did not need any antithyroid drug. It is suggested that these changes may be due to cardio-pulmonary bypass and administration of steroids during heart surgery. This case indicates that heart surgery may influence the clinical course of Graves' disease.
Second Department of Surgery, Tottori University School of Medicine, Yonago, Japan.
K
K
Kobayashi
S
S
Ishiguro
E
E
Hayashi
H
H
Hara
T
T
Mori
I
I
Taniguchi
D001323:Autoantibodies / Q000378:metabolism*; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery; D005260:Female; D006111:Graves Disease / Q000150:complications / Q000276:immunology*; D006801:Humans; D018828:Immunoglobulins, Thyroid-Stimulating; D008875:Middle Aged; D013972:Thyrotropin / Q000378:metabolism*
D001323:Autoantibodies; D018828:Immunoglobulins, Thyroid-Stimulating; D013972:Thyrotropin