Catastrophic Catecholamine-Induced Cardiomyopathy Mimicking Acute Myocardial Infarction, Rescued by Extracorporeal Membrane Oxygenation (ECMO) in Pheochromocytoma.
10.3346/jkms.2008.23.2.350
- Author:
Il Woo SUH
1
;
Cheol Whan LEE
;
Young Hak KIM
;
Myeong Ki HONG
;
Jae Won LEE
;
Jae Joong KIM
;
Seong Wook PARK
;
Seung Jung PARK
Author Information
1. Department of Medicine, Division of Cardiology, Asan Medical Center, University of Ulsan, Seoul, Korea. sjpark@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Shock, Cardiogenic;
Catecholamines;
Intra-Aortic Balloon Pumping;
Extracorporeal Membrane Oxygenation;
Pheochromocytoma
- MeSH:
Adrenal Glands/pathology;
Adult;
Cardiomyopathies/*diagnosis/*etiology;
Catecholamines/*adverse effects;
Coronary Angiography/methods;
Diagnosis, Differential;
Electrocardiography/methods;
Extracorporeal Membrane Oxygenation/*methods;
Humans;
Intra-Aortic Balloon Pumping;
Male;
Myocardial Infarction/*diagnosis;
Pheochromocytoma/*therapy;
Time Factors;
Tomography, X-Ray Computed/methods
- From:Journal of Korean Medical Science
2008;23(2):350-354
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
