Key result
Veno-arterial extracorporeal membrane oxygenation successfully supported the stabilisation and recovery of cardiopulmonary function in a patient with refractory cardiogenic shock secondary to a phaeochromocytoma crisis.
Case Report (n=1)
VA-ECMO can be an effective rescue therapy for refractory cardiogenic shock secondary to phaeochromocytoma crisis.
VA-ECMO may warrant consideration in refractory cardiogenic shock from phaeochromocytoma crisis; single-case evidence leaves open need for prospective validation.
We report on a case of phaeochromocytoma whose initial presentation mimicked an acute myocardial infarction. Veno-arterial extracorporeal membrane oxygenation was used for the management of refractory cardiogenic shock and massive lung oedema. Suspicion and diagnosis of a phaeochromocytoma were made due to its unique clinical presentation during extracorporeal membrane oxygenation. Stabilisation of the crisis and recovery of cardiopulmonary function were achieved using the support of extracorporeal membrane oxygenation. This case highlights the difficulty in the differential diagnosis of cardiogenic shock secondary to phaeochromocytoma and the important role of extracorporeal membrane oxygenation can have in the successful resuscitation and management of these patients.
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Chao et al. (2007) conducted a case report in Phaeochromocytoma crisis with refractory cardiogenic shock (n=1). Veno-arterial extracorporeal membrane oxygenation was evaluated on Stabilisation of the crisis and recovery of cardiopulmonary function. Veno-arterial extracorporeal membrane oxygenation successfully supported the stabilisation and recovery of cardiopulmonary function in a patient with refractory cardiogenic shock secondary to a phaeochromocytoma crisis.
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