title: Cardiogenic shock induced by a voluminous phaeochromocytoma rescued by concomitant extracorporeal life support and open left adrenalectomy.
abstract: Phaeochromocytoma is a rare catecholamine-secreting tumour involved in 0.1-0.2% cases of hypertension in the general population. Headache, palpitation and paroxystic sweating are the most commonly described symptoms. A few published cases report an acute adrenergic cardiomyopathy, leading to severe cardiogenic shock requiring mechanical circulatory support. We report the case of a 57-year old patient presenting a voluminous phaeochromocytoma of the left adrenal gland revealed by cardiogenic shock and rescued by peripheral extracorporeal life support device (ECLS). Left surrenalectomy has been performed under protective ECLS during the same surgical procedure. The patient was successfully weaned from ECLS on Day 7 after surgery and myocardial function completely recovered when the patient was discharged from the hospital.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital of Angers, Angers, France simon.dangvan@gmail.com.
authors.forename: Simon
authors.initials: S
authors.lastname: Dang Van
authors.affiliation: Department of Visceral Surgery, University Hospital of Angers, Angers, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Hamy
authors.affiliation: Department of Surgical Intensive Care Unit B, University Hospital of Angers, Angers, France.
authors.forename: Noémie
authors.initials: N
authors.lastname: Hubert
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University Hospital of Angers, Angers, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Fouquet
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D000315:Adrenalectomy / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D014057:Tomography, X-Ray Computed
keywords: Cardiogenic shock; Extracorporeal life support