Key result
Peripheral VA-ECMO with LV venting enables cardiac and end-organ recovery in pheochromocytoma crisis.
Why the study?
Although extracorporeal membrane oxygenation is extensively used for cardiopulmonary support in cardiogenic shock, its clinical value in the management of pheochromocytoma crisis remains unclear.
Does peripheral VA-ECMO combined with endovascular LV venting improve survival and allow recovery in a patient with pheochromocytoma-induced cardiogenic shock?
Case Report (n=1)
Does peripheral VA-ECMO combined with endovascular LV venting improve survival and allow recovery in a patient with pheochromocytoma-induced cardiogenic shock?
VA-ECMO combined with endovascular LV venting can be a life-saving bridge to diagnosis and treatment in patients with pheochromocytoma-induced cardiogenic shock.
May support VA-ECMO with LV venting as bridge in pheochromocytoma shock; hypothesis-generating and requires prospective validation.
Extracorporeal membrane oxygenation has been extensively used for cardiopulmonary support in cardiogenic shock. However, its clinical value in the management of pheochromocytoma crisis remains unclear. We report a rare case of life-threatening cardiogenic shock managed with peripheral venoarterial extracorporeal membrane oxygenation combined with endovascular left ventricular venting, in a 40-year-old female patient, in the setting of unknown adrenal pheochromocytoma. We highlight the life-saving role of extracorporeal membrane oxygenation in undiagnosed endocrine emergencies, allowing cardiac and end-organ recovery, and giving time for accurate diagnosis and specific treatment in such unusual situations.
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Bouabdallaoui et al. (2017) conducted a case report in Pheochromocytoma-induced cardiogenic shock (n=1). Peripheral venoarterial extracorporeal membrane oxygenation combined with endovascular left ventricular venting was evaluated on Cardiac and end-organ recovery. Peripheral venoarterial extracorporeal membrane oxygenation combined with endovascular left ventricular venting allowed cardiac and end-organ recovery in a patient with pheochromocytoma crisis.
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