Severe Aortic Thrombosis and Profound Hypothermia: A Case Report

• Published in: Indian journal of critical care medicine 2021-05, Vol.25 (5), p.588-589
• Main Authors: Schmitt, Johan, Esnault, Pierre, Sartre, Milena, Cungi, Pierre J, Meaudre, Eric
• Format: Article
• Language: English
• Subjects: Case Report
• ISSN: 0972-5229; 1998-359X
• DOI: 10.5005/jp-journals-10071-23820

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. 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. 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. 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.