A case of successful coronary artery bypass grafting in a patient with angina pectoris and hypothyroidism.
There is a clinical dilemma in the treatment of patients with hypothyroidism and coronary artery disease; excess thyroid hormone administration may exacerbate anginal symptoms, and yet inadequate thyroid replacement may induce congestive heart failure. A case of successful coronary artery bypass grafting in a patient with angina pectoris and hypothyroidism is described in this paper. A 55 year-old woman with this complication initially received thyroid replacement therapy under strict monitoring. Forty days after the start of the thyroid replacement therapy, serum levels of thyroid hormone had reached the normal range, and then coronary artery bypass grafting was successfully performed. She recovered without any complications, and is now free from chest pain in spite of thyroid replacement therapy.
Department of Thoracic Surgery, Osaka Medical College, Takatsuki, Japan.
R
R
Koike
H
H
Suma
T
T
Oku
H
H
Satoh
Y
Y
Sawada
N
N
Matsuyama
A
A
Takeuchi
T
T
Funauchi
T
T
Ishimura
A
A
Wakabayashi
D000787:Angina Pectoris / Q000150:complications / Q000601:surgery*; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000188:drug therapy; D007387:Internal Mammary-Coronary Artery Anastomosis; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation; D013974:Thyroxine / Q000627:therapeutic use
D013974:Thyroxine