Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device

Therapeutic strategy utilizing mechanical circulatory supports in patients with pheochromocytoma-related cardiogenic shock remains unestablished. We had a 51-year-old man with acute decompensated heart failure due to pheochromocytoma crisis. He received a percutaneous left ventricular assist device-...

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Detalles Bibliográficos
Autores principales: Nakamura, Makiko, Imamura, Teruhiko, Fukui, Takuya, Oshima, Akira, Ueno, Hiroshi, Kinugawa, Koichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949284/
https://www.ncbi.nlm.nih.gov/pubmed/35323619
http://dx.doi.org/10.3390/jcdd9030071
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author Nakamura, Makiko
Imamura, Teruhiko
Fukui, Takuya
Oshima, Akira
Ueno, Hiroshi
Kinugawa, Koichiro
author_facet Nakamura, Makiko
Imamura, Teruhiko
Fukui, Takuya
Oshima, Akira
Ueno, Hiroshi
Kinugawa, Koichiro
author_sort Nakamura, Makiko
collection PubMed
description Therapeutic strategy utilizing mechanical circulatory supports in patients with pheochromocytoma-related cardiogenic shock remains unestablished. We had a 51-year-old man with acute decompensated heart failure due to pheochromocytoma crisis. He received a percutaneous left ventricular assist device-supported alpha-blocker and intensive fluid infusion therapy, which ameliorated impaired end-organ dysfunction, maintaining hemodynamics and achieving cardiac recovery, followed by the successfully scheduled adrenalectomy. Early suspicion of pheochromocytoma and Impella-supported disease-specific medical management might be a promising bridge to surgery strategy.
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spelling pubmed-89492842022-03-26 Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device Nakamura, Makiko Imamura, Teruhiko Fukui, Takuya Oshima, Akira Ueno, Hiroshi Kinugawa, Koichiro J Cardiovasc Dev Dis Case Report Therapeutic strategy utilizing mechanical circulatory supports in patients with pheochromocytoma-related cardiogenic shock remains unestablished. We had a 51-year-old man with acute decompensated heart failure due to pheochromocytoma crisis. He received a percutaneous left ventricular assist device-supported alpha-blocker and intensive fluid infusion therapy, which ameliorated impaired end-organ dysfunction, maintaining hemodynamics and achieving cardiac recovery, followed by the successfully scheduled adrenalectomy. Early suspicion of pheochromocytoma and Impella-supported disease-specific medical management might be a promising bridge to surgery strategy. MDPI 2022-02-27 /pmc/articles/PMC8949284/ /pubmed/35323619 http://dx.doi.org/10.3390/jcdd9030071 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Nakamura, Makiko
Imamura, Teruhiko
Fukui, Takuya
Oshima, Akira
Ueno, Hiroshi
Kinugawa, Koichiro
Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device
title Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device
title_full Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device
title_fullStr Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device
title_full_unstemmed Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device
title_short Successful Management of Pheochromocytoma Crisis with Cardiogenic Shock by Percutaneous Left Ventricular Assist Device
title_sort successful management of pheochromocytoma crisis with cardiogenic shock by percutaneous left ventricular assist device
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949284/
https://www.ncbi.nlm.nih.gov/pubmed/35323619
http://dx.doi.org/10.3390/jcdd9030071
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