Coronary artery bypass surgery (CABS) is a common operation,1 which is often complicated by neurological sequelae.2 Disturbances of cerebral blood flow have been reported up to eight days after surgery and pituitary apoplexy has previously been reported.3–5 We report a case of hypopituitarism without pituitary apoplexy, which developed after a period of sustained arterial hypotension, during coronary artery bypass surgery.
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TreasureT.SmithP.L.C.NewmanS.SchneidauA.JosephPHEllP.HarrisonM.J.G.Impairment of cerebral function following cardiac and other major surgery. Eur J CardioThorac Surg, 19893, 216–21.
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CooperD.M.BazaralM.G.FurlanA.J.SevillaE.GhattasM.A.SheelerL.R.LittleJ.R.HahnJ.F.SheldonW.C.LoopF.D.Pituitary apoplexy: A complication of cardiac surgery. Ann Thorac Surg, 198641: 547–50.
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KhardoriR.BussingR.C.BurnsG.M.SolerN.G.Cardiac bypass surgery with haemorrhagic endocrine sequelae. Post Graduate Medical Journal, 198763: 489–92.
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ShapiroL. M.Pituitary apoplexy following coronary artery bypass surgery. Journal of Surgical Oncology, 199044: 66–68.
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VeldhuisJ DHammondJ MEndocrine function after spontaneous infarction of the human pituitary; Report, review and reappraisal. Endocrinol Rev., 19801: 100–116.
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WickramasingheL. S. P.ChazanB.I.MandalA. R.BaylisP. H.RussellI.Cranial diabetes insipusBr Med J.1988296: 969.
