Catastrophic catecholamine-induced cardiomyopathy mimicking acute myocardial infarction, rescued by Extracorporeal Membrane Oxygenation (ECMO) in pheochromocytoma

Il Woo Suh, Whan Lee Cheol, Young Hak Kim, Myeong Ki Hong, Jae Won Lee, Jae Joong Kim, Seong Wook Park, Seung Jung Park

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Pheochromocytoma is a rare disorder and functioning tumor composed of chromaffin cells that secrete catecholamines. Patients with a pheochromocytoma 'crisis' have a high mortality in spite of aggressive therapy. We present a case with a severe acute catecholamine cardiomyopathy presenting ST segment elevation with cardiogenic shock after hemorrhage into a left suprarenal tumor. Intra-aortic balloon pump (IABP) support, combined with inotropic therapy, was performed. However, the patient deteriorated rapidly and was unresponsive to a full dose of inotropics and IABP. We decided to apply extracorporeal membrane oxygenation (ECMO) device for the patient. His clinical state began to improve 3 days after ECMO. After achieving hemodynamic stabilization, he underwent successful laparoscopic left adrenalectomy. He needed no further cardiac medication after discharge.

Original languageEnglish
Pages (from-to)350-354
Number of pages5
JournalJournal of Korean medical science
Volume23
Issue number2
DOIs
Publication statusPublished - 2008 Apr 1

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this