Key result
Emergency arterial embolization and hemodynamic support successfully stabilized a patient with paraganglioma-induced cardiogenic shock prior to surgical excision.
Case Report (n=1)
Emergency arterial embolization can be an effective stabilizing intervention for patients with paraganglioma-induced cardiogenic shock prior to surgical excision.
May stabilize rare paraganglioma cardiogenic shock preoperatively; leaves open need for prospective validation before wider use.
BACKGROUND: Catecholamine-induced cardiogenic shock is a rare manifestation of paragangliomas. The high mortality rate of this condition makes the immediate, multidisciplinary approach mandatory. CASE REPORT: We report a case of an 18-year-old woman with a retroperitoneal secreting paraganglioma, complicated with a cardiogenic shock and an acute adrenergic myocarditis, requiring hemodynamic support and emergency arterial embolization prior to surgical excision, with a favorable outcome. CONCLUSION: Paraganglioma-induced myocarditis is rare but can be dramatic. Management requires appropriate and immediate hemodynamic support. Embolization may be an alternative to stabilize the patient prior to surgery.
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Houari et al. (2018) conducted a case report in Retroperitoneal secreting paraganglioma complicated by cardiogenic shock and acute adrenergic myocarditis (n=1). Hemodynamic support and emergency arterial embolization prior to surgical excision was evaluated on Clinical outcome. Emergency arterial embolization and hemodynamic support successfully stabilized a patient with paraganglioma-induced cardiogenic shock prior to surgical excision.
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