Perioperative management in a patient with panhypopituitarism - evidence based approach: a case report.

ABSTRACT:

Background

Hypopituitarism is characterized by partial or complete deficiency of vital endocrinological hormones such as steroid and thyroid hormones. Generally, normal individual can exhibit 2- to 10-folds rise in serum cortisol levels during stressful period. But patients with panhypopituitarism are more prone to develop metabolic and haemodynamic instability particularly during stressful perioperative period. This can potentially increase significant morbidity and mortality.

Case summary

A 62-year-old female patient presented with breathlessness on exertion. Her coronary angiography revealed critical triple vessel coronary artery disease, and she was scheduled for coronary artery bypass grafting surgery. She had been diagnosed with Sheehan's syndrome (postpartum hypopitui

SUBMITTER: Raut MS 

PROVIDER: S-EPMC6764533 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature