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KMID : 0364020040370070601
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Korean Journal of Thoracic and Cardiovascular Surgery
2004 Volume.37 No. 7 p.601 ~ p.605
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Adrenal Crisis after Off-pump Coronary Artery Bypass Surgery
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안병희/Ahn BH
최용선/류상완/홍성범/정명호/김상형/Choi YS/Ryu SW/Hong SB/Jeong MH/Kim SH
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Abstract
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Addisonian crisis, also commonly referred to as adrenal crisis, occurs when the cortisol produced by the adrenal gland is insufficient to meet the body´s needs. Pituitary apoplexy usually occurs as hemorrhagic and ischemic necrosis in the presence of a pre-existing pituitary adenoma, and is a rare sequela of cardiovascular surgery. Most pituitary apoplexy that happens in cardiovascular surgery has been known to be related to harmful effects of the cardiopulmonary bypass. The case presented herein illustrates occult pituitary apoplexy that occurred after off-pump coronary artery bypass grafting. In this patient, the initial signs of addisonian crisis was similar to those of septic shock, and were overlooked. However, once recognized, they were reduced dramatically with standard stress-dose cortisone. (Korean J Thorac Cardiovasc Surg 2004;37:601-605)
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