Extracorporeal Membrane Oxygenation With Ventricular Unloading Allows for Immediate Adrenergic Blockage in Pheochromocytoma-Induced Cardiogenic Shock
| Autor: | Matteo Attisani, Dario Brenna, Mauro Rinaldi, Massimo Boffini, Matteo Marro, Marco Pocar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Inotrope
medicine.medical_specialty business.industry Cardiogenic shock medicine.medical_treatment Adrenalectomy Adrenergic 030204 cardiovascular system & hematology medicine.disease Pheochromocytoma 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology Internal medicine Circulatory system Catecholamine Extracorporeal membrane oxygenation Cardiology Medicine Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 35:3039-3041 |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2020.09.127 |
| Popis: | Pheochromocytoma (PCC) is a rare catecholamine-producing neuroendocrine tumor, generally located in the adrenal glands, which may occasionally cause refractory cardiogenic shock. The risk of surgical resection in this setting is considered prohibitive. By providing temporary circulatory support, veno-arterial extracorporeal membrane oxygenation (ECMO) has been used to attempt stabilization and bridge patients with PCC to elective adrenalectomy but increases left ventricular afterload and often requires additional catecholamine support. We report two patients on ECMO, who underwent transapical left ventricular unloading via a left minithoracotomy, allowing withdrawal of inotropes, administration of alpha- and beta-adrenergic antagonists, and, ultimately, weaning and successful PCC resection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect