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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.

Original publication

DOI

10.1016/j.athoracsur.2009.01.072

Type

Journal article

Journal

Ann Thorac Surg

Publication Date

08/2009

Volume

88

Pages

661 - 663

Keywords

Aged, Comorbidity, Coronary Artery Bypass, Off-Pump, Female, Goiter, Nodular, Humans, Myocardial Infarction, Thyroidectomy, Tomography, X-Ray Computed, Tracheal Diseases