Venoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case report
Abstract Background Hypercalcemia crisis is a rare but severe form of hypercalcemia complicated by multiple organ failure. Hypercalcemia crisis due to hyperparathyroidism is commonly caused by a parathyroid tumor, which often requires surgical resection. However, there are no clear recommendations o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-03-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-023-00606-y |
| _version_ | 1827984966263242752 |
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| author | Yuria Enomoto Yuko Matsuda Yusuke Nagamine Takahisa Goto |
| author_facet | Yuria Enomoto Yuko Matsuda Yusuke Nagamine Takahisa Goto |
| author_sort | Yuria Enomoto |
| collection | DOAJ |
| description | Abstract Background Hypercalcemia crisis is a rare but severe form of hypercalcemia complicated by multiple organ failure. Hypercalcemia crisis due to hyperparathyroidism is commonly caused by a parathyroid tumor, which often requires surgical resection. However, there are no clear recommendations on when the surgery should be performed. Case presentation A 64-year-old female patient developed hyperparathyroidism due to a parathyroid tumor and hypercalcemic crisis, which was complicated by severe circulatory and respiratory failure refractory to medical therapy, and an emergent surgery was planned to resect the parathyroid tumor. To prevent intraoperative circulatory and respiratory collapse, venoarterial-extra corporeal membrane oxygenation (VA-ECMO) was introduced, resulting in a safe operation and anesthetic management. Conclusions In patients with hypercalcemic crisis complicated by severe circulatory and respiratory failure, induction of prophylactic VA-ECMO was useful for safe anesthetic management. Surgical resection should be performed as soon as the diagnosis is made before VA-ECMO is required. |
| first_indexed | 2024-04-09T23:06:10Z |
| format | Article |
| id | doaj.art-528c0f8c208e4d6f87532008df8d3be9 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-09T23:06:10Z |
| publishDate | 2023-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-528c0f8c208e4d6f87532008df8d3be92023-03-22T10:39:23ZengSpringerOpenJA Clinical Reports2363-90242023-03-01911510.1186/s40981-023-00606-yVenoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case reportYuria Enomoto0Yuko Matsuda1Yusuke Nagamine2Takahisa Goto3Department of Anesthesiology and Critical Care Medicine, Yokohama City University HospitalDepartment of Anesthesiology and Critical Care Medicine, Yokohama City University HospitalDepartment of Anesthesiology and Critical Care Medicine, Yokohama City University HospitalDepartment of Anesthesiology and Critical Care Medicine, Yokohama City University HospitalAbstract Background Hypercalcemia crisis is a rare but severe form of hypercalcemia complicated by multiple organ failure. Hypercalcemia crisis due to hyperparathyroidism is commonly caused by a parathyroid tumor, which often requires surgical resection. However, there are no clear recommendations on when the surgery should be performed. Case presentation A 64-year-old female patient developed hyperparathyroidism due to a parathyroid tumor and hypercalcemic crisis, which was complicated by severe circulatory and respiratory failure refractory to medical therapy, and an emergent surgery was planned to resect the parathyroid tumor. To prevent intraoperative circulatory and respiratory collapse, venoarterial-extra corporeal membrane oxygenation (VA-ECMO) was introduced, resulting in a safe operation and anesthetic management. Conclusions In patients with hypercalcemic crisis complicated by severe circulatory and respiratory failure, induction of prophylactic VA-ECMO was useful for safe anesthetic management. Surgical resection should be performed as soon as the diagnosis is made before VA-ECMO is required.https://doi.org/10.1186/s40981-023-00606-yHypercalcemic crisisHyperparathyroidismParathyroidectomyVenoarterial-extra corporeal membrane oxygenationVA-ECMO |
| spellingShingle | Yuria Enomoto Yuko Matsuda Yusuke Nagamine Takahisa Goto Venoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case report JA Clinical Reports Hypercalcemic crisis Hyperparathyroidism Parathyroidectomy Venoarterial-extra corporeal membrane oxygenation VA-ECMO |
| title | Venoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case report |
| title_full | Venoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case report |
| title_fullStr | Venoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case report |
| title_full_unstemmed | Venoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case report |
| title_short | Venoarterial-extra corporeal membrane oxygenation-assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure: a case report |
| title_sort | venoarterial extra corporeal membrane oxygenation assisted parathyroidectomy for hypercalcemic crisis due to parathyroid carcinoma complicated by severe circulatory and respiratory failure a case report |
| topic | Hypercalcemic crisis Hyperparathyroidism Parathyroidectomy Venoarterial-extra corporeal membrane oxygenation VA-ECMO |
| url | https://doi.org/10.1186/s40981-023-00606-y |
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