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Title: Severe hypothyroidism after coronary artery bypass grafting
Authors: Sarma, AK
Krishna, M
Karunakaran, J
Neema, PK
Neelakandhan, KS
Keywords: Critical Care
Issue Date: 2005
Citation: ANNALS OF THORACIC SURGERY. 80; 2; 714-716
Abstract: A 56-year-old man with unstable angina underwent urgent coronary artery bypass grafting. The patient required reintubation and prolonged ventilation because of persistent drowsiness and hypotension. The patient was weaned off the ventilator and extubated; however, he remained drowsy and lethargic. Neurologic examination, electroencephalogram, and computed tomography scan of the brain did not show any organic cause of his depressed neurologic status. His metabolic profile revealed severe hypothyroidism. The patient responded well to oral thyroxine. We report the unusual manner in which hypothyroidism presented in the patient. A high index of suspicion is required to diagnose and treat this complication.
Appears in Collections:Journal Articles

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