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Ann Thorac Surg 1990;50:831-832
© 1990 The Society of Thoracic Surgeons

Articles

Acute hypercalcemic crisis after an open heart operation

Francesco Siclari, MD*, Gunhild Herrmann, MD, Henning Dralle, MD

Thorax-Herz-Gefäss Chirurgie, and Abdominal und Transplantation Chirurgie, Medizinische Hochschule Hannover, Hannover, Federal Republic of Germany

Accepted for publication May 7, 1990.

* Address reprint requests to Dr Siclari, Thorax-Herz- und Gefässchirurgie, Medizinische Hochschule Hannover, K. Gutschowstraβe 8, D-3000 Hannover 61, Federal Republic of Germany.

Acute hyperparathyroidism developed in a previously normocalcemic 64-year-old woman during the first week after a coronary operation, Prolonged QT interval in the electrocardiogram and hypercalcemia were documented on the fourth postoperative day. Neck exploration on the fifth postoperative day revealed a lower right parathyroid adenoma. Parathyroidectomy resulted in rapid and dramatic improvement of the clinical picture and normalization of laboratory values.






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