Ann Cardiovasc Surg | Volume 1, Issue 1 | Case Report | Open Access
Melike Elif Teker* and Onder Teskin
Department of Cardiovascular Surgery, Biruni University, Turkey
*Correspondance to: Melike Elif Teker
Fulltext PDFBackground: Patients with Addison’s disease are at risk of developing a potentially fatal crisis in the perioperative period after cardiac surgery.Case Report: A 61-year old male with symptomatic coronary artery disease and angiographically confirmed 70% left main coronary artery stenosis and 90% right coronary artery stenosis was referred for Coronary Artery Bypass Grafting (CABG). He had Addison’s disease for 27 years. On the day of the operation, an intravenous dose of 100 mg of cortisol was given in addition to 1000 mg of cortisol in the priming volume of the cardiopulmonary bypass. The patient was weaned off CPB without inotrope or vasopressor infusion. The rest of the postoperative recovery was uneventful and patient was discharged on 5th postoperative day. There were no postoperative complications.Conclusion: The surgical strategy in Addison’s disease patients should be adapted for adequate resuscitation in a crisis and to closely monitor early Addison crisis signs and symptoms.
Addison disease; Cardiac surgery; Adrenal crisis
Teker ME, Teskin O. Prophylaxis for Perioperative Adrenal Crisis in a Patient with Addison’s Disease Undergoing Coronary Surgery: A Case Report. Ann Cardiovasc Surg. 2018; 1(1): 1003.