Combined off-pump coronary artery bypass grafting and thyroidectomy.

A 70-year-old Indian woman presented with an acute anterior wall myocardial infarction and a large multinodular goiter causing tracheal compression and dyspnea. Coronary artery angiography revealed severe triple-vessel disease, with an 80% occlusion of the left main stem, necessitating early coronary artery bypass grafting combined with total thyroidectomy. The procedure was performed successfully.

Infected necrosis complicating acute pancreatitis: experience with 131 cases.

Objective: Despite advances in its management, the mortality of infected pancreatic necrosis (IPN) remains high. We report our observations on complications and treatment of IPN.

Methods: We studied 131 patients with IPN seen over a 20-year period.