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Keep an Eye on the Eye of your Patient: An Update on the Management of Post-CABG Pituitary Apoplexy
  • Joshua E. Insler,
  • Gabriele Maria Iacona
Joshua E. Insler
Cleveland Clinic Department of Thoracic and Cardiovascular Surgery

Corresponding Author:inslerj@ccf.org

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Gabriele Maria Iacona
MedStar Washington Hospital Center
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Pituitary apoplexy is a rare, potentially life-threatening complication which has been described after both on and off-pump CABG. However, never before has pituitary adenoma recurrence after prior resection and subsequent apoplexy leading to severe ophthalmoplegia following on-pump CABG been described. We present the case of a patient who previously underwent transsphenoidal resection of a pituitary adenoma who experienced oculomotor nerve palsy following on-pump CABG and was ultimately found to have a recurrent pituitary adenoma and apoplexy.