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Journal of Case Reports
Thyroidectomy in Dilated Cardiomyopathy: A Challenging Case to Anesthesiologist
Erum Ozair, Shagufta Naaz 
Department of Anaesthesiology, JN Medical College, Aligarh; Uttar Pradesh University of Medical Sciences, Saifai, Uttar Pradesh, India.
Corresponding Author:
Dr. Erum Ozair
Email: erumozair@gmail.com

Received: 30-SEP-2017 Accepted: 20-FEB-2018 Published Online: 25-FEB-2018
DOI: http://dx.doi.org/10.17659/01.2018.0015
Background: Thyroidectomy is one of the commonest endocrine surgical procedures being carried out throughout the globe. Patients with thyroid disorder and cardiomyopathy are difficult to manage as they may develop complications like difficult airway, thyroid storm, heart failure etc.  Restoration of euthyroid state is recommended to prevent thyroid storm.  Other goals of anesthetic management are directed towards prevention of myocardial depression, maintenance of euvolemia, stable hemodynamic and management of complications. Case Report: We present a case of 42 years old female having left sided neck swelling which was gradually progressive and associated with chest pain and fatigue with minimal exertion. Conclusion: Anesthetic management of thyroid surgery in dilated cardiomyopathy can be managed by formulating the good anesthetic goals and prompt diagnosis and management of complications.
Keywords : Chest Pain, Dilated Cardiomyopathy, Heart Failure, Thyroid Diseases, Thyoidectomy.
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