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low or high dose anticoagulation during diagnostic or
surgical procedures. In cases with hypophyseal adenoma
background which are scheduled for graft surgery as per
related surgical indications, complications can be minimal-
ized and prevented earlier by performing endocrinologic
control in the preoperative period, minimalization of
stress associated with perioperative surgery and anesthe-
sia, and close monitoring of the neurological status post-
operatively.
The physician should be awake for pituitary adenoma
infarction after open cardiac surgery and should remem-
ber that, without proper treatment, it can be fatal or cause
permanent neurological damage. Surgical and endocrine
treatment can be life saving. The outcome depends on
early diagnosis and proper intervention.
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