Catastrophic Catecholamine-Induced Cardiomyopathy Mimicking Acute Myocardial Infarction, Rescued by Extracorporeal Membrane Oxygenation (ECMO) in Pheochromocytoma
Journal of Korean Medical Science
; : 350-354, 2008.
Article
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| WPRIM
| ID: wpr-173539
Biblioteca responsable:
WPRO
ABSTRACT
Pheochromocytoma is a rare disorder and functioning tumor composed of chromaffin cells that secrete catecholamines. Patients with a pheochromocytoma 'crisis' have a high mortality in spite of aggressive therapy. We present a case with a severe acute catecholamine cardiomyopathy presenting ST segment elevation with cardiogenic shock after hemorrhage into a left suprarenal tumor. Intra-aortic balloon pump (IABP) support, combined with inotropic therapy, was performed. However, the patient deteriorated rapidly and was unresponsive to a full dose of inotropics and IABP. We decided to apply extracorporeal membrane oxygenation (ECMO) device for the patient. His clinical state began to improve 3 days after ECMO. After achieving hemodynamic stabilization, he underwent successful laparoscopic left adrenalectomy. He needed no further cardiac medication after discharge.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Feocromocitoma
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Factores de Tiempo
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Oxigenación por Membrana Extracorpórea
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Catecolaminas
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Tomografía Computarizada por Rayos X
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Angiografía Coronaria
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Glándulas Suprarrenales
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Diagnóstico Diferencial
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Electrocardiografía
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Contrapulsador Intraaórtico
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
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Humans
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Male
Idioma:
En
Revista:
Journal of Korean Medical Science
Año:
2008
Tipo del documento:
Article