Pre-operative embolization of thyroid arteries in a case of refractory amiodarone-induced thyrotoxicosis. Case report

  • Nel González-Argüelles Hospital Universitario Marqués de Valdecilla, Santander, España.
  • Marta Crespo-Hidalgo Hospital Universitario Marqués de Valdecilla, Santander, España.
  • Jorge Ramón Placer-Martínez Hospital Universitario Marqués de Valdecilla, Santander, España.
  • José Manuel Rabanal-Llevot Hospital Universitario Marqués de Valdecilla, Santander, España.
  • Eduardo Torres-Diez Hospital Universitario Marqués de Valdecilla, Santander, España.
  • Alberto Gil-García Hospital Universitario Marqués de Valdecilla, Santander, España.
Keywords: Amiodarone, Embolization, Thyroid crisis, Thyroidectomy, Thyrotoxicosis

Abstract

Introduction:

Amiodarone has become one of the main antiarrhythmic drugs. However, it may cause a wide variety of adverse effects, sometimes severe. Amiodarone-induced thyroid dysfunction is one of the best known problems, resulting in either thyrotoxicosis or hypothyroidism.

Case presentation:

A patient who, after 2 years of using amiodarone for the control of atrial fibrillation, developed thyrotoxicosis, refractory to conventional medical treatment. To optimize the patient's clinical condition before total thyroidectomy, embolization of thyroid arteries was performed.

Conclusion:

Embolization of the thyroid arteries as bridge therapy to thyroidectomy is an uncommon alternative in patients with amiodarone-induced hyperthiroidism. However, this treatment was useful to improve our patient's symptoms and to optimize the anesthetic/surgical procedure.

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How to Cite
1.
González-Argüelles N, Crespo-Hidalgo M, Placer-Martínez JR, Rabanal-Llevot JM, Torres-Diez E, Gil-García A. Pre-operative embolization of thyroid arteries in a case of refractory amiodarone-induced thyrotoxicosis. Case report. Colomb. J. Anesthesiol. [Internet]. 2019Jul.1 [cited 2022Aug.8];47(3):202-5. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/86

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Published
2019-07-01
How to Cite
1.
González-Argüelles N, Crespo-Hidalgo M, Placer-Martínez JR, Rabanal-Llevot JM, Torres-Diez E, Gil-García A. Pre-operative embolization of thyroid arteries in a case of refractory amiodarone-induced thyrotoxicosis. Case report. Colomb. J. Anesthesiol. [Internet]. 2019Jul.1 [cited 2022Aug.8];47(3):202-5. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/86
Section
Case Report / Case Series

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