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Ann Thorac Surg 2007;84:1025-1027
© 2007 The Society of Thoracic Surgeons

Case Reports

Is Previous Thoracic Sympathectomy a Risk Factor for Exertional Heat Stroke?

Alan D.L. Sihoe, FRCSEd(CTh)a,*, Raymond W.T. Liu, MRCPb, Alex K.L. Lee, MRCPb, Chak-Wah Lam, FHKAMb, Lik-Cheung Cheng, FRCSa

a Division of Cardiothoracic Surgery, Department of Surgery, The University of Hong Kong, Grantham Hospital, Hong Kong SAR, China
b Department of Medicine, Ruttonjee Hospital, Hong Kong SAR, China

Accepted for publication April 17, 2007.

* Address correspondence to Dr Sihoe, Division of Cardiothoracic Surgery, Department of Surgery, The University of Hong Kong, Grantham Hospital, Aberdeen, Hong Kong SAR, China (Email: adls1{at}excite.com).

We report the case of a physically fit young man who presented with severe, life-threatening heat stroke after running a 10 km road race. He had previously received bilateral thoracic sympathectomy for axillary hyperhidrosis at another hospital, and was known to have upper body and limb anhidrosis. Thoracic sympathectomy can result in reduced sweating and disturbed peripheral vascular and heart rate responses. Patients should be warned that these mechanisms may play a role in the development of exertional heat stroke.






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