Adrenal Crisis after Off-pump Coronary Artery Bypass Surgery.
- Author:
Byong Hee AHN
1
;
Yong Sun CHOI
;
Sang Wan RYU
;
Sung Bum HONG
;
Myung Ho JEONG
;
Sang Hyung KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School, Korea. bhahn@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Adrenal gland hypofunction;
Off-pump;
Coronary artery bypass;
Pituitary gland
- MeSH:
Adrenal Glands;
Adrenal Insufficiency;
Cardiopulmonary Bypass;
Coronary Artery Bypass;
Coronary Artery Bypass, Off-Pump*;
Cortisone;
Humans;
Hydrocortisone;
Necrosis;
Pituitary Apoplexy;
Pituitary Gland;
Pituitary Neoplasms;
Shock, Septic;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2004;37(7):601-605
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Addisonian crisis, also commonly referred to as adrenal crisis, occurs when the cortisol produced by the adrenal gland is insufficient to meet the body's needs. Pituitary apoplexy usually occurs as hemorrhagic and ischemic necrosis in the presence of a pre-existing pituitary adenoma, and is a rare sequela of cardiovascular surgery. Most pituitary apoplexy that happens in cardiovascular surgery has been known to be related to harmful effects of the cardiopulmonary bypass. The case presented herein illustrates occult pituitary apoplexy that occurred after off-pump coronary artery bypass grafting. In this patient, the initial signs of addisonian crisis was similar to those of septic shock, and were overlooked. However, once recognized, they were reduced dramatically with standard stress-dose cortisone.
