Thyrotoxicosis with coronary spasm that required coronary artery bypass surgery.
We describe a 47-year-old woman with severe coronary vasospasm induced by hyperthyroidism. The patient complained of anginal chest pain without specific characteristics of thyrotoxicosis. Coronary arteriography was performed and revealed 90% stenosis of both the left and right coronary os. She was treated with emergent coronary artery bypass graft surgery. Postoperatively, she exhibited a comatose mentality. Severe thyrotoxicosis was indicated on thyroid function tests and thyrotoxic storm was diagnosed. Nineteen days after the surgery and following the initiation of propylthiouracil treatment, coronary arteriography revealed entirely normal coronary arteries.
Lee
Sang Min
SM
Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.
Jung
Tae Sik
TS
Hahm
Jong Ryeal
JR
Im
Sung Il
SI
Kim
Soo Kyoung
SK
Lee
Kyeong Ju
KJ
Lee
Jae Min
JM
Chung
Soon Il
SI
D000789:Angina, Unstable / Q000097:blood / Q000209:etiology* / Q000601:surgery; D013956:Antithyroid Agents / Q000627:therapeutic use; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003329:Coronary Vasospasm / Q000097:blood / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011441:Propylthiouracil / Q000627:therapeutic use; D013958:Thyroid Crisis / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy; D013963:Thyroid Hormones / Q000097:blood; D013971:Thyrotoxicosis / Q000097:blood / Q000150:complications* / Q000188:drug therapy
D013956:Antithyroid Agents; D013963:Thyroid Hormones; D011441:Propylthiouracil