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D. M. Cooper, M. G. Bazaral, A. J. Furlan, E. Sevilla, M. A. Ghattas, L. R. Sheeler, J. R. Little, J. F. Hahn, W. C. Sheldon and F. D. Loop, “Pituitary Apoplexy: A Complication of Cardiac Surgery,” Annals of Thoracic Surgery, Vol. 41, No. 5, May 1986, pp. 547-550. doi:10.1016/S0003-4975(10)63039-1

has been cited by the following article:

• TITLE: A Case of Pituitary Hemorrhage Following Cardiopulmonary Bypass Surgery

  AUTHORS: Ozgen Ilgaz Kocyigit, Serdar Kabatas, Erdinc Civelek, Ezgi Tuncay, Oguz Omay, Tufan Cansever, Ayda Turkoz

  KEYWORDS: Anesthesia; Coronary Artery Bypass Graft Surgery; Hemorrhage; Hypophyseal Tumor

  JOURNAL NAME: Surgical Science, Vol.2 No.3, May 18, 2011

  ABSTRACT: A 68-year-old female patient with previous history of transsphenoidal hypophysectomy operation underwent three-vessel coronary artery bypass graft (CABG) surgery for extensive coronary artery disease. Preoperative neurological examination revealed sequelae visual loss at right temporal visual field. Follow-up Magnetic Resonance Imaging studies showed a residual hypophyseal tumor tissue extending to suprasellar area. No additional pathology was detected in the early postoperative cranial control CT, but aggravation of visual field defect was determined. Coincidently, cranial magnetic resonance imaging (MRI) showed hemorrhage into the tumor tissue. We decided to follow-up the patient who exhibited no additional symptoms and was discharged well on the fifth day due to the signs of resolution of hemorrhage. Follow-up controls of the patient at sixth and twelfth months demonstrated normal hormone levels without any additional clinical complaints. We present preoperative assessment, perioperative anesthesia management, and postoperative clinical follow-up of a patient with a residual hypophyseal tumor.