Difficulté diagnostic d’un choc cardiogénique sur une sub-occlusion thrombotique de l’IVA. Un train peut en cacher un autre !
| Autor: | M.A. Bouzid, M. Younes, M. Saighi Bouaouina, Hakim Benamer, A. Masri, R. Cheaito, A. Tritar, H. Mansour, P. Jessen |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry Cardiogenic shock 030232 urology & nephrology 030204 cardiovascular system & hematology medicine.disease Coronary revascularization 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Refractory Coronary thrombosis Internal medicine Heart failure medicine Cardiology Surgical emergency Presentation (obstetrics) Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Annales de Cardiologie et d'Angéiologie. 66:411-414 |
| ISSN: | 0003-3928 |
| DOI: | 10.1016/j.ancard.2017.10.013 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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