Catastrophic catecholamine-induced cardiomyopathy mimicking acute myocardial infarction, rescued by extracorporeal membrane oxygenation (ECMO) in pheochromocytoma

被引:24
|
作者
Suh, Il-Woo [1 ]
Lee, Cheol Whan [1 ]
Kim, Young-Hak [1 ]
Hong, Myeong-Ki [1 ]
Lee, Jae-Won [1 ,2 ]
Kim, Jae-Joong
Park, Seong-Wook [1 ]
Park, Seung-Jung [1 ]
机构
[1] Univ Ulsan, Asan Med Ctr, Div Cardiol, Dept Med, Seoul 138736, South Korea
[2] Univ Ulsan, Asan Med Ctr, Dept Cardiothorac Surg, Seoul 138736, South Korea
关键词
shock; cardiogenic; catecholamines; intra-aortic balloon pumping; extracorporeal membrane oxygenation; pheochromocytoma;
D O I
10.3346/jkms.2008.23.2.350
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pheochromocytoma is a rare disorder and functioning tumor composed of chromaffin cells that secrete catecholamines. Patients with a pheochromocytoma 'crisis' have a high mortality in spite of aggressive therapy. We present a case with a severe acute catecholamine cardiomyopathy presenting ST segment elevation with cardiogenic shock after hemorrhage into a left suprarenal tumor. Intra-aortic balloon pump (IABP) support, combined with inotropic therapy, was performed. However, the patient deteriorated rapidly and was unresponsive to a full dose of inotropics and IABP. We decided to apply extracorporeal membrane oxygenation (ECMO) device for the patient. His clinical state began to improve 3 days after ECMO. After achieving hemodynamic stabilization, he underwent successful laparoscopic left adrenalectomy. He needed no further cardiac medication after discharge.
引用
收藏
页码:350 / 354
页数:5
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