J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 216KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 93(6): 657-659, 1992

Case report

A CASE WITH GRAVES’ DISEASE WHOSE TBII INDEX WAS DECREASED AFTER HEART SURGERY

1) Second Department of Surgery, Tottori University School of Medicine, Yonago, Japan
2) Department of Cardiovascualr Surgery, Tottori Prefectural Central Hospital, Tottori, Japan

Kaoru Kobayashi1), Singo Ishiguro1), Eiichi Hayashi1), Hiroshi Hara1), Toru Mori1), Iwao Taniguchi2)

This case report describes a patient with Graves' disease who underwent heart surgery and we studied changes in thyroid hormone and antithyroid autoantibodies. TBII index of this case, which was high value before surgery, was decreased after surgery for two years, and the patient did not need any antithyroid drug. It is suggested that these changes may be due to cardio-pulmonary bypass and administration of steroids during heart surgery. This case indicates that heart surgery may influence the clinical course of Graves' disease.

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