Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization

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, co...

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Autores principales: Houari, N., Touzani, S., Salhi, H., Alaoui Lamrani, M.-Y., Ibnmajdoub, K., El Ouahabi, H., El Bouazzaoui, A., Boukatta, B., Maâroufi, M., Maazaz, K., Kanjaa, N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057417/
https://www.ncbi.nlm.nih.gov/pubmed/30073095
http://dx.doi.org/10.1155/2018/4058046
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author Houari, N.
Touzani, S.
Salhi, H.
Alaoui Lamrani, M.-Y.
Ibnmajdoub, K.
El Ouahabi, H.
El Bouazzaoui, A.
Boukatta, B.
Maâroufi, M.
Maazaz, K.
Kanjaa, N.
author_facet Houari, N.
Touzani, S.
Salhi, H.
Alaoui Lamrani, M.-Y.
Ibnmajdoub, K.
El Ouahabi, H.
El Bouazzaoui, A.
Boukatta, B.
Maâroufi, M.
Maazaz, K.
Kanjaa, N.
author_sort Houari, N.
collection PubMed
description 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.
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spelling pubmed-60574172018-08-02 Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization Houari, N. Touzani, S. Salhi, H. Alaoui Lamrani, M.-Y. Ibnmajdoub, K. El Ouahabi, H. El Bouazzaoui, A. Boukatta, B. Maâroufi, M. Maazaz, K. Kanjaa, N. Case Rep Crit Care Case Report 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. Hindawi 2018-07-05 /pmc/articles/PMC6057417/ /pubmed/30073095 http://dx.doi.org/10.1155/2018/4058046 Text en Copyright © 2018 N. Houari et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Houari, N.
Touzani, S.
Salhi, H.
Alaoui Lamrani, M.-Y.
Ibnmajdoub, K.
El Ouahabi, H.
El Bouazzaoui, A.
Boukatta, B.
Maâroufi, M.
Maazaz, K.
Kanjaa, N.
Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_full Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_fullStr Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_full_unstemmed Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_short Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_sort retroperitoneal paraganglioma-induced cardiogenic shock rescued by preoperative arterial embolization
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057417/
https://www.ncbi.nlm.nih.gov/pubmed/30073095
http://dx.doi.org/10.1155/2018/4058046
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