Pheochromocytoma-induced cardiogenic shock successfully treated by extracorporeal circulation.
10.12701/yujm.2017.34.2.285
- Author:
Min Young LEE
1
;
Sang Bae LEE
;
Hyun Seo CHA
;
Ji Hong YOU
;
Eui Young CHOI
;
Jong Suk PARK
Author Information
1. Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. PJS00@yuhs.ac, CHOI0928@yuhs.ac
- Publication Type:Case Report
- Keywords:
Cardiogenic shock;
Pheochromocytoma;
Adrenalectomy;
Extracorporeal membrane oxygenation
- MeSH:
Adrenalectomy;
Chest Pain;
Echocardiography;
Emergency Service, Hospital;
Extracorporeal Circulation*;
Extracorporeal Membrane Oxygenation;
Female;
Follow-Up Studies;
Headache;
Heart Arrest;
Hospitalization;
Humans;
Nausea;
Pheochromocytoma;
Recurrence;
Respiration, Artificial;
Shock, Cardiogenic*;
Ventricular Dysfunction, Left;
Vital Signs;
Vomiting;
Young Adult
- From:Yeungnam University Journal of Medicine
2017;34(2):285-289
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma can present with various symptoms including cardiogenic shock and cardiac arrest. Particularly, in cases of cardiogenic shock of unknown origin, pheochromocytoma should be considered. A 20-year-old woman without any medical history visited our emergency department due to nausea, vomiting, headache, and chest pain. Echocardiography revealed severe left ventricular dysfunction. Mechanical ventilation and veno-arterial extracorporeal membrane oxygenation (ECMO) were implemented owing to her unstable vital signs. For unstable vital sign and cardiogenic shock in a young woman without any previous medical history, pheochromocytoma was considered and diagnosed based on elevated levels of catecholamine derivatives in a 24-hour urine sample. Cardiac function recovered and ECMO was discontinued on the 5th day of hospitalization. She later underwent an elective adrenalectomy and no recurrence was found during the follow-up period. We reported a case of pheochromocytoma which was presented with cardiogenic shock in a young woman with no concomitant disease, and successfully treated with ECMO followed by an elective adrenalectomy.
