title: Combined Open-Heart Coronary Artery Bypass Surgery and Subtotal Thyroidectomy in a 54-year-old patient: A Case Report.
abstract: BACKGROUND
  Combined open-heart surgery and thyroidectomy is a rare procedure. However, some difficulties will occur for cardiac surgery when thyromegaly extends into the retrosternal space.
  
  
  METHODS
  A 54-year-old woman suffering from dyspnea, chest pain and decreased left ventricular function (EF=40%) was diagnosed with coronary artery disease (3 vessel disease) and became candidate for coronary artery bypass grafting (CABG). Also, she had multinodular goiter with normal thyroid function test. After midsternotomy, a huge goiter was seen in the upper mediastinum. Because the mass had covered the ascending aorta and involved the posterior aspect of the innominate vein making access to aorta impossible, thyroidectomy was performed at first followed by CABG. Post-operation course was satisfactory. Fourteen months later, the patient was euthyroid and in NYHA class 1.
  
  
  CONCLUSIONS
  The evidence of the case showed that combined CABG and thyroidectomy can be performed safely.
authors.affiliation: Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Shahriar
authors.initials: S
authors.lastname: Mali
authors.affiliation: Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Mohammadtaghi
authors.initials: M
authors.lastname: Sarebanhassanabadi
mesh_terms: D001011:Aorta; D016121:Brachiocephalic Veins; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D005260:Female; D006042:Goiter / Q000150:complications* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013961:Thyroid Gland / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy
keywords: Coronary Artery Bypass Grafting; Subtotal Thyroidectomy; Surgery