A case of reoperative parathyroidectomy in tandem with coronary artery bypass surgery

Yeran Bao, James Wall, Alison Semrad, Wen T. Shen, Stephen S. Lippman, Arthur L Swislocki, Dolores M. Shoback, Quan Yang Duh

Research output: Contribution to journalArticle

Abstract

Surgery remains the only curative therapy for primary hyperparathyroidism (PHPT). Successful localization of the hyperfunctioning parathyroid lesion(s) prior to surgery allows for a more focused surgical approach, especially important in reoperative patients. Surgery is recommended for most symptomatic patients and a subset of asymptomatic patients who meet specific criteria in terms of laboratory testing or who are osteoporotic. Situations may arise where hypercalcemia would pose significant morbidity in the postoperative periods of other major surgeries. Here, we report a case of tandem reoperative parathyroidectomy followed by coronary artery bypass surgery under one session of general anesthesia in a 60-year-old man with PHPT. Preoperatively, magnetic resonance imaging localized the lesion after multiple ultrasounds, technetium-99m sestamibi parathyroid scans and one bilateral internal jugular venous sampling failed to identify the hyperfunctioning lesion.

Original languageEnglish (US)
Pages (from-to)47-51
Number of pages5
JournalWorld Journal of Endocrine Surgery
Volume3
Issue number1
StatePublished - Jan 2011

Keywords

  • Coronary artery bypass surgery
  • Hyperparathyroidism
  • Parathyroid imaging
  • Reoperative parathyroidectomy

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Bao, Y., Wall, J., Semrad, A., Shen, W. T., Lippman, S. S., Swislocki, A. L., Shoback, D. M., & Duh, Q. Y. (2011). A case of reoperative parathyroidectomy in tandem with coronary artery bypass surgery. World Journal of Endocrine Surgery, 3(1), 47-51.