Severe hypothermia in myxoedema coma: A rewarming by extracorporeal circulation

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


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
Issue number6
StatePublished - Dec 2011
Externally publishedYes


  • Extracorporeal circulation
  • Hypothermia
  • Myxoedema


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