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Amit Korach
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Ann Thorac Surg 2007;84:1388-1390
© 2007 The Society of Thoracic Surgeons

Case Reports

Pituitary Apoplexy and CABG: Should We Change Our Strategy?

Eli Levy, MDa,*, Amit Korach, MDa, Gideon Merin, MDa, Moshe Feinsod, MDb, Brian Glenville, MDa

a Division of Cardiothoracic Surgery, Hadassah University Hospital, Jerusalem, Israel
b Division of Clinical Neuroscience, Rambam (Maimonides) Medical Center, Haifa, Israel

Accepted for publication May 7, 2007.

* Address correspondence to Dr Levy, Hadassah University Hospital, P.O.B. 12000, Jerusalem, 91120, Israel (Email: elinava{at}netvision.net.il).

Patients with pituitary adenoma that had coronary artery bypass grafting with cardiopulmonary bypass had pituitary apoplexy develop with neurologic deficits and even death. Four patients with pituitary adenoma underwent coronary artery bypass grafting operations (3 patients had coronary artery bypass grafting on bypass, 1 of them with known pituitary adenoma. All of them had pituitary apoplexy develop with neurologic deficits). One patient with known pituitary adenoma who had a coronary artery bypass grafting operation off pump was neurologically intact. Our recommendation is to consider operating on patients with pituitary adenoma who need coronary artery bypass grafting operation off pump, and to prevent pituitary apoplexy that cardiopulmonary bypass may cause.






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Copyright © 2007 by The Society of Thoracic Surgeons.