Graves’ DiseaseHemodynamically Masquerading as Pheochromocytomaduring Thyroidectomy
Journal Title: Scholars Academic Journal of Biosciences - Year 2017, Vol 5, Issue 7
Abstract
Graves’ disease of thyroid occasionally requires surgical thyroidectomy for cure. In a well controlled (euthyroidised) patient with antithyroid drugs and beta blockers, it is a straight forward operation with uneventful outcome when managed by an experienced surgeon-anesthestic team. But, unlike non-toxic goiters, minor cardiac and hemodynamic events are a norm than exception during surgery for Graves’ disease. In this case report, we highlight a turbulent intraoperative course with hypertensive crisis in a 43 year old patient, who was well controlled and non-hypertensive pre-operatively. We also discuss the probable underlying pathophysiology and management options through this interesting case.
Authors and Affiliations
Bhargav PRK, Satish Chandra T, Srikanth K, Sunil Chowdhary G, Vimaladevi N
Keywords
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