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Prolonged mechanical ventilation associated with hypothyroidism after paediatric cardiac surgery

Published online by Cambridge University Press:  28 August 2013

Ibrahim C. Tanidir ,
Tolga Unuvar  and
Sertac Haydin
Ibrahim C. Tanidir*
Affiliation:
Department of Pediatric Cardiology, İstanbul Mehmet Akif Ersoy, Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey
Tolga Unuvar
Affiliation:
Department of Pediatric Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy, Thoracic and Cardiovascular Surgery Center and Research Hospital, Istanbul, Turkey
Sertac Haydin
Affiliation:
Department of Pediatric Endocrinology, İstanbul Kanuni Sultan Süleyman Research Hospital, Istanbul, Turkey
*
Correspondence to: I. C. Tanidir, MD, Department of Pediatric Cardiology, İstanbul Mehmet Akif Ersoy Eğitim Araştırma Hastanesi, İstasyon Mah.Turgut Özal Bulvarı No:11 Küçükçekmece, Istanbul. Tel: +90 505 259 27 25; Fax: +90 212 471 94 94; E-mail: [email protected]
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Abstract

Hypothyroidism in patients undergoing congenital heart defect surgery is known to be possible. This generally temporary condition can progress as it involves yet other factors, increasing the patients’ time to heal. The case presented here is that of a 5-month-old girl who was dependent in the long term on mechanical ventilation following cardiac surgery. After having been diagnosed with hypothyroidism, she was extubated on the fourth day of her hormone replacement therapy, and discharged from hospital on the tenth day.

Keywords

Hypothyroidismprolonged mechanical ventilator supportpaediatric cardiac surgerycongenital heart disease
Type
Brief Reports
Information
Cardiology in the Young , Volume 24 , Issue 4 , August 2014 , pp. 745 - 747
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Bettendorf, M, Schmidt, KG, Tiefenbacher, U, Grulich-Henn, J, Heinrich, UE, Schonberg, DK. Transient secondary hypothyroidism in children after cardiac surgery. Pediatr Res 1997; 41: 375–379.Google Scholar
2. Klemperer, JD. Thyroid hormone and cardiac surgery. Thyroid 2002; 12: 517–521.Google Scholar
3. Carrel, T, Eckstein, F, Englberger, L, Mury, R, Mohacsi, P. Thyronin treatment in adult and pediatric heart surgery: clinical experience and review of the literature. Eur J Heart Fail 2002; 4: 577–582.Google Scholar
4. Datta, D, Scalise, P. Hypothyroidism and failure to wean in patients receiving prolonged mechanical ventilation at a regional weaning center. Chest 2004; 126: 1307–1312.Google Scholar
5. Scalise, PJ, Votto, JJ. Weaning from long-term mechanical ventilation. Chron Respir Dis 2005; 2: 99–103.Google Scholar
6. Lynch, BA, Brown, DM, Herrington, C, Braunlin, E. Thyroid dysfunction after pediatric cardiac surgery. J Thorac Cardiovasc Surg 2004; 127: 1509–1511.Google Scholar
7. Fisher, D. Disorders of the thyroid in the newborn and infant. In: Sperling M (ed.). Pediatric Endocrinology, 2nd edn. Saunders, Philadelphia, 2002: 161–185.Google Scholar
8. Rose, SR, Brown, RS, Foley, T, et al. Update of newborn screening and therapy for congenital hypothyroidism. Pediatrics 2006; 117: 2290–2303.Google Scholar
9. Stockigt, JR, Lim, CF. Medications that distort in vitro tests of thyroid function, with particular reference to estimates of serum free thyroxine. Best Pract Res Cl En 2009; 23: 753–767.CrossRefGoogle ScholarPubMed
10. Rastogi, MV, LaFranchi, SH. Congenital hypothyroidism. Orphanet J Rare Dis 2010; 5: 17.Google Scholar
11. Brown, R, Huang, S. The thyroid and its disorders. In: Brook C, Clayton P, Brown R (eds). Clinical Pediatric Endocrinology, 5th edn. Blackwell Publishing, Singapore, 2005: 218–253.Google Scholar