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:: Volume 3, Issue 1 (Journal of Clinical and Basic Research(JCBR) 2019) ::
jcbr 2019, 3(1): 40-43 Back to browse issues page
Management of Persistent Hyponatremia after Off-Pump Coronary Artery Bypass Grafting: A Case Report
Bibifatemeh Shakhsemampour1, Faegheh Zojaji 1, Ahmad Amouzeshi2
1- Department of Anesthesiology, Birjand University of Medical Sciences, Birjand, Iran
2- Department of Cardiac Surgery and Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran
Abstract:   (343 Views)
Background: Delayed hyponatremia is a common phenomenon following transsphenoidal surgery. Recent evidence suggests that the risk of developing intensive care unit-acquired hyponatremia is high following cardiac surgery. Herein, we report management of persistent hyponatremia after off-pump coronary artery bypass in a patient with diabetes and hypothyroidism who was on diuretics.
Case description: An 81-year-old man with diabetes and hypothyroidism was admitted to Valiasr hospital in Birjand (Iran) with history of typical chest pain and dyspnea since a month ago. Coronary angiography revealed a critical triple vessel disease, and therefore, the patient was considered a candidate for coronary artery bypass grafting. His pre-operative sodium level was normal but decreased to 128mEq/L on sixth postoperative day.
Conclusion: When hyponatremia is detected in a patient with hypothyroidism, even if severe, in the absence of myxedema coma, it may not be directly associated with the lack of thyroid hormones. Thus, other possible etiologies should be considered.
Keywords: Persistent hyponatremia, CABG, Management
Full-Text [PDF 302 kb]   (80 Downloads)    
Article Type: Case report | Subject: Medicine
Received: 2019/04/20 | Accepted: 2019/05/25 | Published: 2019/05/25
References
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Shakhsemampour B, Zojaji F, Amouzeshi A. Management of Persistent Hyponatremia after Off-Pump Coronary Artery Bypass Grafting: A Case Report. jcbr. 2019; 3 (1) :40-43
URL: http://jcbr.goums.ac.ir/article-1-198-en.html


Volume 3, Issue 1 (Journal of Clinical and Basic Research(JCBR) 2019) Back to browse issues page
Journal of Clinical and Basic Research Journal of Clinical and Basic Research
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