Severe hypothermia in myxoedema coma: A rewarming by extracorporeal circulation

Alexander Kogan, Yigal Kassif, Mordechay Shadel, Yaron Shwarz, Jacob Lavee, Jacob Or, Ehud Raanani

Research output: Contribution to journalArticlepeer-review

Abstract

Myxoedema coma is the most lethal manifestation of hypothyroidism. It represents a true medical emergency, especially in the case of cardiovascular instability. Extracorporeal circulation is usually used for rewarming and for providing cardiac support in patients with severe hypothermia and, in addition, cardiovascular instability. We report the case of an 84-year-old woman who presented to the ED with accidental hypothermia associated with myxoedema that was successfully managed by veno-arterial extracorporeal blood rewarming. This case suggests that veno-arterial extracorporeal rewarming appears to achieve a rapid and consistent rewarming rate and is less invasive and more readily available than cardiopulmonary bypass.

Original languageEnglish
Pages (from-to)773-775
Number of pages3
JournalEMA - Emergency Medicine Australasia
Volume23
Issue number6
DOIs
StatePublished - Dec 2011
Externally publishedYes

Keywords

  • Extracorporeal circulation
  • Hypothermia
  • Myxoedema

Fingerprint

Dive into the research topics of 'Severe hypothermia in myxoedema coma: A rewarming by extracorporeal circulation'. Together they form a unique fingerprint.

Cite this