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嗜铬细胞瘤所致心源性休克的体外膜肺氧合治疗

Extracorporeal membrane oxygenation in pheochromocytoma-induced cardiogenic shock.

作者信息

Bouabdallaoui Nadia, Bouchard Denis, Jolicoeur E Marc, Chronopoulos Alexandra, Garneau Pierre Y, Lamarche Yoan

机构信息

1 Department of Medicine, Montreal Heart Institute, 25465 Université de Montréal, Montreal, Canada.

2 Department of Surgery, Montreal Heart Institute, 25465 Université de Montréal, Montreal, Canada.

出版信息

Asian Cardiovasc Thorac Ann. 2018 May;26(4):314-316. doi: 10.1177/0218492317727995. Epub 2017 Aug 21.

Abstract

Extracorporeal membrane oxygenation has been extensively used for cardiopulmonary support in cardiogenic shock. However, its clinical value in the management of pheochromocytoma crisis remains unclear. We report a rare case of life-threatening cardiogenic shock managed with peripheral venoarterial extracorporeal membrane oxygenation combined with endovascular left ventricular venting, in a 40-year-old female patient, in the setting of unknown adrenal pheochromocytoma. We highlight the life-saving role of extracorporeal membrane oxygenation in undiagnosed endocrine emergencies, allowing cardiac and end-organ recovery, and giving time for accurate diagnosis and specific treatment in such unusual situations.

摘要

体外膜肺氧合已广泛用于心源性休克的心肺支持。然而,其在嗜铬细胞瘤危象管理中的临床价值仍不明确。我们报告了一例罕见的危及生命的心源性休克病例,该病例发生在一名40岁女性患者身上,其患有不明肾上腺嗜铬细胞瘤,通过外周静脉-动脉体外膜肺氧合联合血管内左心室减压进行治疗。我们强调了体外膜肺氧合在未确诊的内分泌急症中的救命作用,它能使心脏和终末器官恢复,并为在这种特殊情况下进行准确诊断和特异性治疗争取时间。

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