A Case of Coronary Artery Bypass Grafting for Unstable Angina with Acromegaly.
10.4326/jjcvs.27.100
- VernacularTitle:末端肥大症に合併した不安定狭心症の１手術例
- Author:
Mitsuhiro Yamamura
;
Takashi Miyamoto
;
Katsuhiko Yamashita
;
Toshihiko Saga
;
Hideki Yao
;
Takashi Yasuoka
;
Kazushige Inoue
;
Hirokazu Minamimura
;
Torazo Wada
;
Masahiro Kawanaka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(2):100-103
- CountryJapan
- Language:Japanese
-
Abstract:
A 65-year-old woman was admitted with a diagnosis of unstable angina after PTCA. She was diagnosed with acromegaly 8 years ago. She underwent an emergency coronary artery bypass grafting (LITA-LAD, SVG-HL-Cx). Serum growth hormone (GH) levels were 65.5ng/ml (normal limit<5ng/ml) before the operation. During a cardiopulmonary bypass GH levels elevated to 92.7ng/ml, but decreased to 15.9ng/ml after the operation. After 3 postoperative days GH levels increased gradually again and blood sugar levels became unstable. Finally it was necessary to increase the dose of bromocriptine. To our knowledge, there are only a few patients who have undergone coronary artery bypass grafting associated with acromegaly. This case suggests it is important to control GH levels at the operation and during the postoperative period.
