Central extracorporeal life support in pheochromocytoma crisis.

Banfi, Carlo; Juthier, Francis; Ennezat, Pierre-Vladimir; de Saint Denis, Timothee; Carnaille, Bruno; Leteurtre, Emmanuelle; Prat, Alain; Vincentelli, André · Ann Thorac Surg · 2012

case_report · Level V

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Abstract

Pheochromocytoma is a catecholamine-secreting tumor associated with clinical presentations ranging from paroxysmal hypertension to intractable cardiogenic shock. We report the use of central extracorporeal life support (ECLS) in a young woman admitted to the intensive care unit with cardiogenic shock. Her medical history included neurofibromatosis type I and pheochromocytoma. ECLS was needed because of severe left ventricular failure and inotropic therapy unresponsiveness. ECLS permitted full recovery of left ventricular function. Right adrenelectomy was performed 4 months later. In this case, central ECLS was used to treat pheochromocytoma-induced cardiogenic shock complicated by pulmonary edema.

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