We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Successful extracorporeal membrane oxygenation treatment of catecholamine-induced cardiomyopathy-associated pheochromocytoma: a case report.
- Authors
Sangshin Park; Min Kim; Dae In Lee; Ju-Hee Lee; Sangmin Kim; Sang Yeub Lee; Jang-Whan Bae; Kyung-Kuk Hwang; Dong-Woon Kim; Myeong-Chan Cho; Dae-Hwan Bae
- Abstract
The main mechanism of Takotsubo cardiomyopathy (TCM) is catecholamine-induced acute myocardial stunning. Pheochromocytoma, a catecholamine-secreting tumor, can cause several cardiovascular complications, including hypertensive crisis, myocardial infarction, toxic myocarditis, and TCM. A 29-year-old woman presented to our hospital with general weakness, vomiting, dyspnea, and chest pain. The patient was nullipara, 28 weeks' gestation, and had a cachexic morphology. Her cardiac enzyme levels were elevated and bedside echocardiography showed apical akinesia, suggesting TCM. The next day, she could not feel the fetal movement, and an emergency cesarean section was performed. After delivery, the patient experienced cardiac arrest and was transferred to the intensive care unit for cardiopulmonary resuscitation (CPR). Spontaneous circulation returned after 28 minutes of CPR, but cardiogenic shock continued, and extracorporeal membrane oxygenation (ECMO) was initiated. On the third day of ECMO maintenance, left ventricular ejection fraction improved and blood pressure stabilized. On the eighth day after ECMO insertion, it was removed. However, complications of the left leg vessels occurred, and several surgeries and interventions were performed. A left adrenal gland mass was found on computed tomography and was removed while repairing the leg vessels. Pheochromocytoma was diagnosed and left adrenalectomy was performed.
- Subjects
EXTRACORPOREAL membrane oxygenation; PHEOCHROMOCYTOMA; RETURN of spontaneous circulation; CARDIOGENIC shock; HYPERTENSIVE crisis; CARDIOLOGICAL manifestations of general diseases; TAKOTSUBO cardiomyopathy
- Publication
Acute & Critical Care, 2024, Vol 39, Issue 1, p194
- ISSN
2586-6052
- Publication type
Article
- DOI
10.4266/acc.2021.01158