Embolisation of pheochromocytoma to stabilise and wean a patient in cardiogenic shock from emergency extracorporeal life support.
Pheochromocytoma is a catecholamine-secreting tumour associated with varying symptoms ranging from episodic headache, sweating, paroxysmal hypertension and tachycardia to intractable cardiogenic shock. Cardiogenic shock is rare but well-described and the timing of correct management is crucial since mortality is high. Fifty per cent of pheochromocytomas are diagnosed on autopsy. We report on a case of embolisation of the adrenal artery during ongoing extracorporeal life support (ECLS) in order to stabilise and wean the patient from ECLS as a bridge to final surgery.
Department of Anaesthesia, Odense University Hospital, Odense, Denmark.
Helle
http://orcid.org/0000-0001-8240-8429
H
Vagner
Department of Cardiology, University Hospital of Odense, Odense, Denmark.
Thomas Morris
TM
Hey
Department of Interventional Radiology, University Hospital of Odense, Odense, Denmark.
Bo
B
Elle
Odense University Hospital, Odense, Denmark.
Marianne Kjær
MK
Jensen
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000628:therapy*; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005112:Extracorporeal Circulation; D005260:Female; D006801:Humans; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*