Phaeochromocytoma resection can be complicated by severe catecholamine-induced cardiomyopathy and haemodynamic instability requiring advanced mechanical circulatory support and multidisciplinary care.
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Highlights catecholamine cardiomyopathy risk in phaeochromocytoma resection; leaves open optimal mechanical support strategies.
Summary We present the case of a patient who underwent phaeochromocytoma resection that resulted in a protracted period of hospitalisation secondary to other complications. His tumour was complicated by catecholamine‐induced cardiomyopathy, haemodynamic instability, persistent pulmonary infiltrates and venous thrombosis. These issues necessitated prolonged hospitalisation and required the input of multiple medical and surgical specialities to ensure a successful outcome. His haemodynamic instability resulted in the use of multiple vasoactive agents and an intra‐aortic balloon pump (IABP). This case illustrates the many complexities and complications associated with phaeochromocytomas, and the importance of pre‐operative planning and multi‐disciplinary collaboration.
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Sivalingam et al. (2014) studied this question.
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