Phaeochromocytoma crisis--a rare indication for extracorporeal membrane oxygenation.
We report on a case of phaeochromocytoma whose initial presentation mimicked an acute myocardial infarction. Veno-arterial extracorporeal membrane oxygenation was used for the management of refractory cardiogenic shock and massive lung oedema. Suspicion and diagnosis of a phaeochromocytoma were made due to its unique clinical presentation during extracorporeal membrane oxygenation. Stabilisation of the crisis and recovery of cardiopulmonary function were achieved using the support of extracorporeal membrane oxygenation. This case highlights the difficulty in the differential diagnosis of cardiogenic shock secondary to phaeochromocytoma and the important role of extracorporeal membrane oxygenation can have in the successful resuscitation and management of these patients.
Chao
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A
Department of Anaesthesia and Intensive Care, National Taiwan University Hospital, 7, Chung-Shan S. Road, Taipei, 100, Taiwan. chaoanne@yahoo.com
Yeh
Y C
YC
Yen
T S
TS
Chen
Y S
YS
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis; D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed