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Title of Journal: Eur J Cardiothorac Surg

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Abbravation: European Journal of Cardio-Thoracic Surgery

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Narnia

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DOI

10.1007/s00270-005-0073-5

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ISSN

1010-7940

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Coronary artery bypass surgery in patients with an

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Publish Date: 1991/05/01
Volume: 5, Issue: 5, Pages: 230-234
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Abstract

The treatment of hypothyroidism in patients undergoing coronary arterybypass surgery is a difficult clinical problem To determine perioperativethyroid replacement therapy in patients with hypothyroidism plasma totalthyroxine T4 total triiodothyroxine T3 free T4 free T3 andthyroidstimulating hormone levels were measured preoperatively and at 12 3 7 and 14 days after operation in 9 patients with hypothyroidism andwere compared with levels in 14 patients with normal thyroid function whounderwent coronary bypass surgery In the normal control group total T4decreased to its lowest level on the 1st postoperative day and thenincreased gradually to the preoperative level at 7 days Total T4 remainedwithin the normal range throughout the entire postoperative course In 6patients with hypothyroidism who were treated with thyroid hormone beforesurgery total T4 decreased immediately after operation and only increasedafter starting thyroid replacement therapy In 3 hypothyroid patientswithout prior thyroid replacement total T4 showed a change similar topatients in the control group but remained below the normal range untilstarting thyroid replacement therapy Coronary bypass surgery was performedsafely in patients with hypothyroidism Preoperative thyroid replacementwith suboptimal doses was safe in patients with severe hypothyroidismAdequate postoperative thyroid replacement was achieved in all patientswithout complications

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  2. The relevance of the microbiological flora of the upper alimentary tract to postoperative infection in major oesophageal surgery
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  4. Is cerebral blood flow/metabolic mismatch during rewarming a risk factor after profound hypothermic procedures in small children?
  5. Improved spontaneous endothelialization by postfixation treatment of bovine pericardium
  6. Structural changes in implanted cardiac valvular bioprostheses constructed of glycerol-treated human dura mater
  7. Video-assisted repair of a ruptured right hemidiaphragm
  8. Recovery of end-organ failure during mechanical circulatory support
  9. Improved mitral valve replacement
  10. Pulmonary complications following myocardial revascularization with the internal mammary artery graft
  11. Video-assisted thoracoscopic treatment of pleural empyema. A newtherapeutic approach
  12. Up to 9 years of follow-up after anatomic correction of simple transposition of the great arteries
  13. Does the technique of cardiopulmonary bypass affect lung water content?
  14. Successful surgical management for multiple cerebral mycotic aneurysmsinvolving both carotid and vertebrobasilar systems in active infectiveendocarditis
  15. Warm body, cold heart surgery. Clinical experience in 2817 patients
  16. Tumor-related obstruction of the inferior vena cava extending into the right heart--a plea for surgery in deep hypothermic circulatory arrest
  17. Surgery for critical congenital aortic stenosis during the first three months of life
  18. Spontaneous rupture of the ascending aorta
  19. A concealed impalement injury of the chest--an unusual intrathoracic foreign body
  20. Surgical treatment of airway obstruction associated with congenital heart disease in infants and small children
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  22. Eleven years' experience with Carpentier-Edwards biological valves in relation to survival and complications
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