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Ann Thorac Surg 2004;77:1839-1841
© 2004 The Society of Thoracic Surgeons

Case report

Plasmapheresis as effective treatment for thyrotoxic storm after sleeve pneumonectomy

Jurgen Petry, MDa, Paul E. Y. Van Schil, MD, PhDb, Pascale Abrams, MDc, Philippe G. Jorens, MD, PhDa*

a Department of Intensive Care Medicine, University Hospital of Antwerp, Antwerp, Belgium
b Department of Thoracic and Vascular Surgery, University Hospital of Antwerp, Antwerp, Belgium
c Department of Endocrinology, University Hospital of Antwerp, Antwerp, Belgium

Accepted for publication June 3, 2003.

* Address reprint requests to Dr Jorens, University Hospital of Antwerp, Department of Intensive Care Medicine, Wilrijkstraat 10, B-2650 Edegem, Belgium.
e-mail: philippe.jorens{at}uza.be

Th yrotoxicosis is a life-threatening disorder when encountered after a major surgical procedure. Plasma exchange is an occasionally reported alternative treatment to thyroidectomy, iodine ablative therapy, or the administration of thyreostatic drugs. We used plasmapheresis as a lifesaving treatment in a patient with thyrotoxicosis, as encountered after a left-sleeve pneumonectomy, in whom many classic therapies either failed or were not retained.






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