Extracorporeal membrane oxygenation in pheochromocytoma-induced cardiogenic shock. (May 2018)

• Record Type: Journal Article
• Authors: Bouabdallaoui, Nadia; Bouchard, Denis; Jolicoeur, E. Marc; Chronopoulos, Alexandra; Garneau, Pierre Y; Lamarche, Yoan
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 26:Number 4(2018)
• Page Start: 314
• Page End: 316
• Publication Date: 2018-05
• Subjects: Adrenal gland neoplasms -- Adrenalectomy -- Extracorporeal membrane oxygenation -- Pheochromocytoma -- Cardiogenic Shock; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492317727995
• Languages: English
• ISSNs: 0218-4923

Abstract

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.