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Coronary artery surgery and myxoedema.
  1. S J Kirk,
  2. H O O'Kane,
  3. P Morton
  1. Department of Cardiac Surgery, Royal Victoria Hospital, Belfast.


    A patient with a preoperative diagnosis of myxoedema had triple vessel coronary artery bypass surgery. The perioperative and postoperative course was essentially uneventful. The most appropriate management of a patient with coronary artery disease who has concomitant myxoedema is first to improve myocardial blood flow by relieving coronary obstruction and then to treat the thyroid deficiency.

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