Key result
Combined ECLS and open adrenalectomy rescues a patient with pheochromocytoma-induced cardiogenic shock.
Case Report (n=1)
Concomitant extracorporeal life support and open adrenalectomy can successfully rescue patients presenting with severe cardiogenic shock due to acute adrenergic cardiomyopathy from a phaeochromocytoma.
May support rescue with concomitant ECLS and adrenalectomy in select cases; leaves open generalizability pending prospective studies.
Phaeochromocytoma is a rare catecholamine-secreting tumour involved in 0.1-0.2% cases of hypertension in the general population. Headache, palpitation and paroxystic sweating are the most commonly described symptoms. A few published cases report an acute adrenergic cardiomyopathy, leading to severe cardiogenic shock requiring mechanical circulatory support. We report the case of a 57-year old patient presenting a voluminous phaeochromocytoma of the left adrenal gland revealed by cardiogenic shock and rescued by peripheral extracorporeal life support device (ECLS). Left surrenalectomy has been performed under protective ECLS during the same surgical procedure. The patient was successfully weaned from ECLS on Day 7 after surgery and myocardial function completely recovered when the patient was discharged from the hospital.
No takes yet. Share an insight, caveat, or question.
Van et al. (2016) conducted a case report in Cardiogenic shock induced by phaeochromocytoma (n=1). Concomitant extracorporeal life support (ECLS) and open left adrenalectomy was evaluated on Survival and myocardial recovery. Concomitant extracorporeal life support and open left adrenalectomy successfully rescued a 57-year-old patient with cardiogenic shock induced by a voluminous phaeochromocytoma.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: