Severe Aortic Thrombosis and Profound Hypothermia: A Case Report

Johan Schmitt; Pierre Esnault; Milena Sartre; Pierre J Cungi; Eric Meaudre

doi:10.5005/jp-journals-10071-23820

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Severe Aortic Thrombosis and Profound Hypothermia: A Case Report

Johan Schmitt, Pierre Esnault, Milena Sartre, Pierre J Cungi, Eric Meaudre

Keywords : Acute limb ischemia, Hypothermia, Rewarming, Stroke, Thrombosis

Citation Information : Schmitt J, Esnault P, Sartre M, Cungi PJ, Meaudre E. Severe Aortic Thrombosis and Profound Hypothermia: A Case Report. Indian J Crit Care Med 2021; 25 (5):588-589.

DOI: 10.5005/jp-journals-10071-23820

License: CC BY-NC 4.0

Published Online: 01-05-2021

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Abstract

Background: Blood clot formation is a multifactorial process and has been related many times in intensive care units. Here is presented a multiple thrombosis formation in a rewarming patient. Case description: A 68-year-old patient was admitted to our intensive care unit after lying on the floor for an unknown time. She presented a severe hypothermia at 26° and a severe cardiogenic shock. Because she was confused and was hypoxemic, she had been intubated at her admission. After intravascular warming, we could stop sedative medications. She presented a right hemiparesis and acute left leg ischemia. Computed tomography (CT) scan revealed a constituted left Sylvian stroke and a massive clot along the aorta. She required a surgical embolectomy and fasciotomy. She died after she presented a severe bowel ischemia on the third day after her admission. Conclusion: Relevant hypothesis for blood clot formation in this patient may include prolonged lying position or blood temperature variation. Hypothermia and rewarming responsibilities may explain multiple thrombosis development.

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