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Thyroid storm after mitral valve repair in a patient with Becker muscular dystrophy
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  • Kazuhiro Yamazaki,
  • Kenji Minakata,
  • Takeichiro Nakane,
  • Masahide Kawatou,
  • Kenji Minatoya,
  • Ryuzo Sakata
Kazuhiro Yamazaki
Graduate School of Medicine, Kyoto University
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Kenji Minakata
Kyoto University Graduate School of Medicine
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Takeichiro Nakane
Kyoto University
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Masahide Kawatou
Graduate School of Medicine, Kyoto University
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Kenji Minatoya
Natl Cerebral
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Ryuzo Sakata
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Abstract

A 40-year-old male with Becker muscular dystrophy presented with severe mitral regurgitation and underwent mitral valve repair. Following the surgery, the patient became tachycardic, and developed a continuous high grade-fever and hyperbilirubinemia. The patient's condition worsened and we eventually tested his thyroid levels and discovered abnormally high thyroid levels. After diagnosing a severe thyroid storm, the patient was treated with oral administration of Lugol's iodine and thiamazole, as well as an intravenous steroid, which led to an immediate improvement of symptoms. The incidence of thyroid storm after open-heart surgery is extremely rare but highly life-threatening if unrecognized.

Peer review status:Published

11 Oct 2020Submitted to Journal of Cardiac Surgery
22 Oct 2020Submission Checks Completed
22 Oct 2020Assigned to Editor
22 Oct 2020Reviewer(s) Assigned
26 Oct 2020Review(s) Completed, Editorial Evaluation Pending
26 Oct 2020Editorial Decision: Revise Major
22 Nov 20201st Revision Received
23 Nov 2020Submission Checks Completed
23 Nov 2020Assigned to Editor
23 Nov 2020Reviewer(s) Assigned
27 Nov 2020Review(s) Completed, Editorial Evaluation Pending
27 Nov 2020Editorial Decision: Accept
11 Dec 2020Published in Journal of Cardiac Surgery. 10.1111/jocs.15245