{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T17:12:31Z","timestamp":1759943551413,"version":"build-2065373602"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,11,15]],"date-time":"2019-11-15T00:00:00Z","timestamp":1573776000000},"content-version":"vor","delay-in-days":137,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>A 29\u2010year\u2010old previously healthy patient presented with a hyperparathyroid\u2010induced hypercalcaemic crisis refractory to conventional therapy. The patient developed ventricular fibrillation and subsequently required emergency parathyroidectomy and extracorporeal membrane oxygenation support. Extensive intracardiac and pulmonary trunk thrombi were identified soon after the commencement of extracorporeal membrane oxygenation, despite full anticoagulation. In this report we highlight the non\u2010specific presentations of hypercalcaemia which may lead to delayed diagnosis, and discuss the incidence, risk factors and treatment of a hyperparathyroid\u2010induced hypercalcaemic crisis. We emphasise the role of emergency parathyroidectomy as a salvage therapy in medically refractory We consider the likely factors leading to intracardiac thrombi formation in this case, including how hypercalcaemia may have been a contributing factor.<\/jats:p>","DOI":"10.1002\/anr3.12026","type":"journal-article","created":{"date-parts":[[2019,11,16]],"date-time":"2019-11-16T02:46:51Z","timestamp":1573872411000},"page":"83-87","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of hyperparathyroid\u2010induced hypercalcaemic crisis with intracardiac thrombi"],"prefix":"10.1002","volume":"7","author":[{"given":"N. C.","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Pamela Youde Nethersole Eastern Hospital Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. M.","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Pamela Youde Nethersole Eastern Hospital Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,15]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"321","article-title":"Acute hyperparathyroidism: our experience with 36 cases","volume":"75","author":"Gasparri G","year":"2004","journal-title":"Annali Italiani di Chirurgia"},{"key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1051\/ject\/201648162","article-title":"Review of venoarterial extracorporeal membrane oxygenation and development of intracardiac thrombosis in adult cardiothoracic patients","volume":"48","author":"Williams B","year":"2016","journal-title":"Journal of Extra\u2010Corporeal Technology"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/IMCRJ.S23764"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60507-9"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.131763"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2011.11.004"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.07.041"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.141.7.696"},{"key":"e_1_2_5_10_1","first-page":"11","article-title":"Hypocalcaemic congestive heart failure \u2013 a post\u2010parathyroidectomy complication","volume":"373","author":"Varthakavi P","year":"1985","journal-title":"Indian Heart Journal"},{"key":"e_1_2_5_11_1","first-page":"175","article-title":"The relationship between primary hyperparathyroidism and thrombotic events: report of three cases and a review of potential mechanisms","volume":"12","author":"Koufakis T","year":"2018","journal-title":"International Journal of Hematology\u2010Oncology and Stem Cell Research"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12026","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.12026","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T16:44:30Z","timestamp":1759941870000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1002\/anr3.12026"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12026","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"2019-10-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}