[Open heart surgery in patient with hyperthyroidism].
A 57-yr-old male with atrial septal defect (ASD) was scheduled for the patch closure operation. The patient had a history of hyperthyroidism due to giant adenoma of the thyroid gland. The patient was controlled under euthyroid state by thiamazole for four years. With this treatment, his thyroid function became normal and he was doing well for over the last seven years. On the morning of the day of operation, thiamazole was given orally to this patient. When the ASD patch closure was performed, the examination of his thyroid gland revealed hypothyroidism, but the operation could be performed without any thyroidal trouble. After the operation thiamazole was given intramuscularly to this patient and from the next day it was continued orally. Thyroid storm did not occur after the operation until discharge. We conclude that in a case of heart disease with hyperthyroidism, it is important to keep the patient's thyroid function under normal for a long time before surgery.
Satoh
O
O
Department of Anesthesia, Kushiro City General Hospital.
Miyabe
M
M
Kawamata
M
M
Nakae
Y
Y
Tsukamoto
T
T
Namiki
A
A
D000284:Administration, Oral; D000758:Anesthesia / Q000379:methods*; D005283:Fentanyl; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications* / Q000188:drug therapy; D007273:Injections, Intramuscular; D008297:Male; D008713:Methimazole / Q000008:administration & dosage*; D008875:Middle Aged
D008713:Methimazole; D005283:Fentanyl