Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
| Autor: | A. El Bouazzaoui, K. Ibnmajdoub, Houda Salhi, H. El Ouahabi, M.-Y. Alaoui Lamrani, Brahim Boukatta, K. Maazaz, Soumaya Touzani, Nabil Kanjaa, N. Houari, M. Maâroufi |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Myocarditis business.industry Arterial Embolization Mortality rate medicine.medical_treatment Cardiogenic shock lcsh:Medical emergencies. Critical care. Intensive care. First aid Hemodynamics Case Report lcsh:RC86-88.9 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Paraganglioma 030220 oncology & carcinogenesis medicine Surgical excision Embolization business |
| Zdroj: | Case Reports in Critical Care Case Reports in Critical Care, Vol 2018 (2018) |
| ISSN: | 2090-6439 2090-6420 |
| DOI: | 10.1155/2018/4058046 |
| Popis: | Background.Catecholamine-induced cardiogenic shock is a rare manifestation of paragangliomas. The high mortality rate of this condition makes the immediate, multidisciplinary approach mandatory.Case Report.We report a case of an 18-year-old woman with a retroperitoneal secreting paraganglioma, complicated with a cardiogenic shock and an acute adrenergic myocarditis, requiring hemodynamic support and emergency arterial embolization prior to surgical excision, with a favorable outcome.Conclusion.Paraganglioma-induced myocarditis is rare but can be dramatic. Management requires appropriate and immediate hemodynamic support. Embolization may be an alternative to stabilize the patient prior to surgery. |
| Databáze: | OpenAIRE |
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