Zusammenfassung
Ein Hypophyseninfarkt kann ischämischer oder hämorrhagischer Genese sein und wird meistens durch Hypophysentumore ausgelöst. Dieser dramatische Zustand kommt selten nach chirurgischen Eingriffen vor allem bei Vorliegen schwerer Hämorrhagien oder einer längeren Hypotoniephase vor. Dieses Krankheitsbild stellt eine ernste Situation mit möglichen schweren Komplikationen und eventueller Todesfolge dar. Wir präsentieren einen 60-jährigen Patienten mit Entwicklung einer vollständigen Hypopyseninsuffizienz in Folge einer anaphylaktischen Reaktion auf Protamin während einer aortokoronaren Bypassoperation.
Abstract
Pituitary apoplexy usually results from ischemic or hemorrhagic changes due to preexisting adenomas of the pituitary gland. Rarely, it can occur after surgical procedures, mainly because of severe hemorrhage or hypotension. It is a serious condition and may lead to disastrous complications and even to death. We present a 60-year-old male patient in whom pituitary apoplexy developed due to protamine anaphylaxis during coronary artery bypass surgery.
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Ugurlucan, M., Yerebakan, C., Basaran, M. et al. Hypophyseninfarkt nach aortokoronarer Bypassoperation. Z Herz- Thorax- Gefäßchir 21, 217–220 (2007). https://doi.org/10.1007/s00398-007-0586-0
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DOI: https://doi.org/10.1007/s00398-007-0586-0