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Ann Thorac Surg 1986;41:547-550
© 1986 The Society of Thoracic Surgeons
Departments of Cardiology, Cardiothoracic Anesthesia, Neurology, Neurosurgery, Endocrinology, and Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH
Accepted for publication September 10, 1985.
* Address reprint requests to Dr. Furlan, Department of Neurology, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106
Pituitary apoplexy occurred in 3 patients in the immediate postoperative period following cardiac operation with cardiopulmonary bypass. In this setting, this complication is extremely rare and not widely recognized.
Precipitating factors may be related to the extracorporeal bypass apparatus, anticoagulation, low cerebral blood flow, and even anesthetic agents.
Neurosurgical decompression can be safely performed in the early postoperative period following open-heart operations.
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M. Loubani and M. Galinanes Pituitary gland macroadenoma: a cause of transient blindness after cardiac surgery Ann. Thorac. Surg., September 1, 2001; 72(3): 929 - 931. [Abstract] [Full Text] [PDF]
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J S Davies, M F Scanlon, and P E Belchetz Lesson of the week: Hypopituitarism after coronary artery bypass grafting • Commentary: Hypoadrenalism should also be considered in cases of persistent hyponatraemia BMJ, February 28, 1998; 316(7132): 682 - 682. [Full Text]
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E. Vidal, R. Cevallos, J. Vidal, R. Ravon, J.-J. Moreau, A.-M. Rogues, V. Loustaud, and F. Liozon Twelve Cases of Pituitary Apoplexy Arch Intern Med, September 1, 1992; 152(9): 1893 - 1899. [Abstract] [PDF]
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 C. Gandola Asymptomatic Pituitary Adenomas Ann Intern Med, September 15, 1990; 113(6): 482 - 482. [Abstract] [PDF]
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