A Case of Adrenocorticotropic Hormone Deficiency after Surgery for Cardiac Valvular Disease
10.4326/jjcvs.39.187
- VernacularTitle:弁膜症術後に ACTH 単独欠損症が判明した1症例
- Author:
Aiko Sato
;
Hirofumi Anai
;
Tomoyuki Wada
;
Hirotsugu Hamamoto
;
Toru Shimaoka
;
Takashi Shuto
;
Takeshi Sakaguchi
;
Koro Goto
;
Hironobu Yoshimatsu
;
Shinji Miyamoto
- Publication Type:Journal Article
- Keywords:
cardiac valvular disease;
adrenocorticotropic hormone deficiency;
hypoglycemia;
hypotension
- From:Japanese Journal of Cardiovascular Surgery
2010;39(4):187-190
- CountryJapan
- Language:Japanese
-
Abstract:
A 59-year-old man was admitted to our hospital with severe mitral incompetence. Mitral valve repair, tricuspid annuloplasty and the Maze procedure were performed. After weaning from cardiopulmonary bypass, his systolic blood pressure (SBP) dropped to 40 mmHg. Immediate administration of catecholamines markedly increased SBP but his continuing low blood pressure required additional treatment with vasopressin and hydrocortisone. On postoperative day 12 in the general ward, he suddenly lapsed into an intractable hypoglycemic coma. Endocrine function tests revealed adrenocorticotropic hormone deficiency. Since the time of writing has been doing well with 20 mg of hydrocortisone.
