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Downey L, Rodriguez S, Clendenin D. A patient with surgically unrepaired single ventricle and uncontrolled amiodarone-induced thyrotoxicosis for emergent thyroidectomy. A A Case Rep. 2014;3(5):61-4doi: 10.1213/XAA.0000000000000080.
Downey, L., Rodriguez, S., & Clendenin, D. (2014). A patient with surgically unrepaired single ventricle and uncontrolled amiodarone-induced thyrotoxicosis for emergent thyroidectomy. A & A case reports, 3(5), 61-4. https://doi.org/10.1213/XAA.0000000000000080
Downey, Laura, et al. "A patient with surgically unrepaired single ventricle and uncontrolled amiodarone-induced thyrotoxicosis for emergent thyroidectomy." A & A case reports vol. 3,5 (2014): 61-4. doi: https://doi.org/10.1213/XAA.0000000000000080
Downey L, Rodriguez S, Clendenin D. A patient with surgically unrepaired single ventricle and uncontrolled amiodarone-induced thyrotoxicosis for emergent thyroidectomy. A A Case Rep. 2014 Sep 01;3(5):61-4. doi: 10.1213/XAA.0000000000000080. PMID: 25611355.
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A A Case Rep. 2014 Sep 01;3(5):61-4. doi: 10.1213/XAA.0000000000000080.

A patient with surgically unrepaired single ventricle and uncontrolled amiodarone-induced thyrotoxicosis for emergent thyroidectomy.

A & A case reports

Laura Downey, Samuel Rodriguez, David Clendenin

Affiliations

  1. From the Department of Anesthesiology, Perioperative & Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.

PMID: 25611355 DOI: 10.1213/XAA.0000000000000080

Abstract

We present the case of a 20-year-old woman with a history of hypoplastic left heart syndrome, D-transposition of the great arteries, and mitral/pulmonary valve atresia without surgical palliation, who was admitted with persistent atrial flutter/fibrillation and worsening cardiac function from amiodarone-induced thyrotoxicosis. Despite maximal medical therapy, she continued to have uncontrolled thyrotoxicosis and underwent successful emergent thyroidectomy under general anesthesia. With advances in the treatment of congenital heart disease, more patients are surviving to adulthood and require emergent noncardiac surgery. Therefore, anesthesiologists must understand the principles for managing patients with congenital heart disease and how the patient's physiology may affect the anesthetic plan.

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