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Ann Thorac Surg 2009;88:661-663. doi:10.1016/j.athoracsur.2009.01.072
© 2009 The Society of Thoracic Surgeons
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Case Reports

Combined Off-pump Coronary Artery Bypass Grafting and Thyroidectomy

A.P. Mehra, MCh*, K.S. Shah, DNB, P.C. Jain, MBBS, S.K. Bhansali, MS, J.D. Sunawala, MD, B.V. Gandhi, MD, A. Oswal, MBBS, R.A. Karatela, PhD

Breach Candy Hospital and Research Centre, Mumbai, India

Accepted for publication January 27, 2009.

* Address correspondence to Dr Mehra, Department of Cardiothoracic Surgery, Breach Candy Hospital and Research Centre, Mumbai, India (Email: drarunmehra{at}hotmail.com).

A 70-year-old Indian woman presented with an acute anterior wall myocardial infarction and a large multinodular goiter causing tracheal compression and dyspnea. Coronary artery angiography revealed severe triple-vessel disease, with an 80% occlusion of the left main stem, necessitating early coronary artery bypass grafting combined with total thyroidectomy. The procedure was performed successfully. At the 1-year follow-up, the patient remains euthyroid and in New York Heart Association functional class I. This case provides further evidence that combined coronary artery bypass grafting and total thyroidectomy is both feasible and safe.






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