Anesthetic experience of pheochromocytoma resection with catecholamine-induced cardiomyopathy and congestive heart failure : A case report.
10.4097/kjae.2009.56.5.601
- Author:
Eun Mi CHOI
1
;
Chung Hoon PARK
;
Seung Bum HONG
;
Sungwon NA
;
Young Jun OH
Author Information
1. Department of Anesthesiology and Pain Medicine, Kangwon University College of Medicine, Chuncheon, Korea.
- Publication Type:Case Report
- Keywords:
Catecholamine;
Catecholamine-induced cardiomyopathy;
Pheochromocytoma
- MeSH:
Cardiomyopathies;
Cold Temperature;
Dyspnea;
Echocardiography;
Epinephrine;
Estrogens, Conjugated (USP);
Fatigue;
Heart Failure;
Hypertension, Pulmonary;
Hypokinesia;
Pheochromocytoma;
Pulmonary Edema;
Sweat;
Sweating;
Thorax;
Vasopressins
- From:Korean Journal of Anesthesiology
2009;56(5):601-604
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Catecholamine-induced cardiomyopathy associated with pheochromocytoma is a relatively well-recognized but rare entity. We report a case of 15-year old man with a pheochromocytoma and severe heart failure caused by a catecholamine-induced cardiomyopathy. He had symptoms such as fatigue, cold sweating, and dyspnea for 7 months. The chest x-ray showed an enlarged cardiac shadow and pulmonary edema. Echocardiography showed severe decreased left ventricular contractility with multiple thrombi and right ventricular hypokinesia with mild pulmonary hypertension. This report describes our experience of the anesthetic management for the removal of pheochromocytoma with catecholamine-induced cardiomyopathy, which barely responded to high vasopressin and epinephrine.
