1.A Case of Adrenocorticotropic Hormone Deficiency after Surgery for Cardiac Valvular Disease
Aiko Sato ; Hirofumi Anai ; Tomoyuki Wada ; Hirotsugu Hamamoto ; Toru Shimaoka ; Takashi Shuto ; Takeshi Sakaguchi ; Koro Goto ; Hironobu Yoshimatsu ; Shinji Miyamoto
Japanese Journal of Cardiovascular Surgery 2010;39(4):187-190
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.
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