Extracorporeal membrane oxygenation rescue for cardiopulmonary collapse secondary to pheochromocytoma: report of three cases

Huang, Jih-Hsin; Huang, Su‐Cheng; Chou, Nai‐Kuan; Ko, Wen‐Je; Chen, Yih‐Sharng; Wang, Shoei‐Shen

doi:10.1007/s00134-008-1117-5

Cited by 21 publications

(9 citation statements)

References 4 publications

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“…In our series, the three patients who survived had improved cardiovascular function after 5 days of ECMO support. These results are consistent with the results of ECMO when used successfully in patients with acute hemodynamic compromise (even under CPR) related to other conditions such as fulminant myocarditis and pheochromocytoma (3,19).…”

supporting

confidence: 93%

Extracorporeal Membrane Oxygenation Rescues Thyrotoxicosis-Related Circulatory Collapse

Hsu

Wang

2011

Thyroid

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supporting

confidence: 93%

Extracorporeal Membrane Oxygenation Rescues Thyrotoxicosis-Related Circulatory Collapse

Hsu

Wang

2011

Thyroid

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“…Many authors have reported that these cardiac complications in pheochromocytoma patients were completely reversed by mechanical circulatory support techniques such as ventricular assist devices and extracorporeal life support-without adrenergic blockade or even tumor resection. 2,[7][8][9][10][11]13 Our experience supports this claim: AV node ablation and pacemaker placement stabilized our patient's hemodynamic status within a few hours and normalized her LVEF within a week-well before we entertained the diagnosis of pheochromocytoma.…”

Section: Discussionsupporting

confidence: 68%

Pheochromocytoma-Induced Atrial Tachycardia Leading to Cardiogenic Shock and Cardiac Arrest: Resolution with Atrioventricular Node Ablation and Pacemaker Placement

Shawa¹,

Bajaj²,

Cunningham³

2014

Texas Heart Institute Journal

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Pheochromocytoma should be considered in young patients who have acute cardiac decompensation, even Case ReportIn January 2011, a 38-year-old black woman presented at another hospital with cardiogenic shock (left ventricular ejection fraction [LVEF], <0.15) that did not respond to the placement of an intra-aortic balloon pump. She was transferred by helicopter to our cardiac center for further care. The patient then experienced 2 cardiac arrests and needed cardiopulmonary resuscitation for 5 minutes. A TandemHeart ® Percutaneous Ventricular Assist Device (CardiacAssist, Inc.; Pittsburgh, Pa) was inserted emergently. A 12-lead electrocardiogram confirmed atrial tachycardia (Fig. 1A). A trial of intravenous metoprolol caused a complete cessation of blood flow from the TandemHeart device. The patient responded to glucagon and intravenous fluids. Comprehensive electrophysiologic studies revealed multifocal atrial tachycardia and junctional ectopic tachycardia, which were treated with radiofrequency ablation of the atrioventricular (AV) node and the placement of a temporary pacemaker. This treatment dramatically stabilized the patient's hemodynamic status and within a few hours improved her LVEF to 0.25-0.30. Consequently, the patient was weaned off vasopressors, and the TandemHeart was removed. The patient subsequently developed a junctional escape rhythm at 78 beats/min and AV dissociation (Fig. 1B). Her blood pressure was maintained in the normal range after tapering of the vasopressors.

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“…All patients had presented with acute cardiac failure or arrhythmia and a recent history of flu-like illness without previous history of heart disease. Three of them were finally diagnosed as pheochromocytoma after detailed investigation [3]. They were excluded from the study because of a different etiology.…”

Section: Patient Populationmentioning

confidence: 99%

Extracorporeal membranous oxygenation support for acute fulminant myocarditis: analysis of a single center's experience☆

Hsu

Chi

et al. 2011

European Journal of Cardio-Thoracic Surgery

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Extracorporeal membrane oxygenation rescue for cardiopulmonary collapse secondary to pheochromocytoma: report of three cases

Cited by 21 publications

References 4 publications

Extracorporeal Membrane Oxygenation Rescues Thyrotoxicosis-Related Circulatory Collapse

Extracorporeal Membrane Oxygenation Rescues Thyrotoxicosis-Related Circulatory Collapse

Pheochromocytoma-Induced Atrial Tachycardia Leading to Cardiogenic Shock and Cardiac Arrest: Resolution with Atrioventricular Node Ablation and Pacemaker Placement

Extracorporeal membranous oxygenation support for acute fulminant myocarditis: analysis of a single center's experience☆

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