RESUMO
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.
Assuntos
Ponte de Artéria Coronária sem Circulação Extracorpórea , Bócio Nodular/epidemiologia , Infarto do Miocárdio/epidemiologia , Tireoidectomia , Idoso , Comorbidade , Feminino , Bócio Nodular/complicações , Bócio Nodular/diagnóstico por imagem , Bócio Nodular/cirurgia , Humanos , Infarto do Miocárdio/cirurgia , Tomografia Computadorizada por Raios X , Doenças da Traqueia/diagnóstico por imagem , Doenças da Traqueia/etiologiaRESUMO
We explored the interrelationships of coagulation FVII activity levels with obesity, leptin and insulin resistance in diabetes mellitus (DM Type 2) and in non-diabetic control subjects. We found FVII hypercoagulant activity levels in DM not associated with obesity, leptin levels or insulin resistance. It was found independently associated with hypertriglyceridemia.
