[Difficulty in diagnosis of a cardiogenic shock with thrombotic and sub-occluded LAD. A train can hide another one!]

Autor: Cheaito R; Service de cardiologie, hôpital européen de Paris, La Roseraie, 120, avenue de la République, 93300 Aubervilliers, France; Hôpital privé Jacques-Cartier, 6, avenue du Noyer-Lambert, 91300 Massy, France; Service de cardiologie, Beirut cardiac institute, airport St, Beirut, Liban. Electronic address: cheaito_radi@hotmail.fr., Tritar A; Service de cardiologie, hôpital européen de Paris, La Roseraie, 120, avenue de la République, 93300 Aubervilliers, France., Benamer H; Service de cardiologie, hôpital européen de Paris, La Roseraie, 120, avenue de la République, 93300 Aubervilliers, France; Hôpital privé Jacques-Cartier, 6, avenue du Noyer-Lambert, 91300 Massy, France., Saighi Bouaouina M; Service de cardiologie, hôpital européen de Paris, La Roseraie, 120, avenue de la République, 93300 Aubervilliers, France., Masri A; Service de cardiologie, hôpital européen de Paris, La Roseraie, 120, avenue de la République, 93300 Aubervilliers, France., Bouzid MA; Service de cardiologie, hôpital européen de Paris, La Roseraie, 120, avenue de la République, 93300 Aubervilliers, France., Younes M; Service de cardiologie, Beirut cardiac institute, airport St, Beirut, Liban., Mansour H; Service de cardiologie, Beirut cardiac institute, airport St, Beirut, Liban., Jessen P; Service de cardiologie, hôpital européen de Paris, La Roseraie, 120, avenue de la République, 93300 Aubervilliers, France.
Jazyk: francouzština
Zdroj: Annales de cardiologie et d'angeiologie [Ann Cardiol Angeiol (Paris)] 2017 Dec; Vol. 66 (6), pp. 411-414. Date of Electronic Publication: 2017 Nov 02.
DOI: 10.1016/j.ancard.2017.10.013
Abstrakt: The pheochromocytome is a localized tumor at the level of the medullosurrenale in 85% of the cases. The clinical presentation is very variable. Severe Heart failure presentation can be the mode of revelation in 2% of the cases. We present the case of a patient admitted for refractory cardiogenic shock correlated to pheochromocytome tumor. The difficulty of this rare clinical presentation was to confirm rapidly and in emergency this diagnosis in the same time when the patient presents a persistante and severe cardiogenic chock after finding a sub-occluded and thrombotic LAD coronary artery and which was treated by thrombectomy and coronary revascularization. The surgical treatment of this tumor is considered to be a quickly saving treatment. It allows a fast recovery of the cardiac function.
(Copyright © 2017 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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