Choi Eun Mi, Park Chung Hoon, Hong Seung Bum, Na Sungwon, Oh Young Jun
Department of Anesthesiology and Pain Medicine, Kangwon University College of Medicine, Chuncheon, Korea.
Korean J Anesthesiol. 2009 May;56(5):601-604. doi: 10.4097/kjae.2009.56.5.601.
Catecholamine-induced cardiomyopathy associated with pheochromocytoma is a relatively well-recognized but rare entity. We report a case of 15-year old man with a pheochromocytoma and severe heart failure caused by a catecholamine-induced cardiomyopathy. He had symptoms such as fatigue, cold sweating, and dyspnea for 7 months. The chest x-ray showed an enlarged cardiac shadow and pulmonary edema. Echocardiography showed severe decreased left ventricular contractility with multiple thrombi and right ventricular hypokinesia with mild pulmonary hypertension. This report describes our experience of the anesthetic management for the removal of pheochromocytoma with catecholamine-induced cardiomyopathy, which barely responded to high vasopressin and epinephrine.
与嗜铬细胞瘤相关的儿茶酚胺诱导性心肌病是一种相对广为人知但罕见的病症。我们报告一例15岁男性患者，患有嗜铬细胞瘤，并因儿茶酚胺诱导性心肌病导致严重心力衰竭。他出现疲劳、冷汗和呼吸困难等症状达7个月。胸部X光显示心脏阴影增大和肺水肿。超声心动图显示左心室收缩力严重下降，伴有多个血栓形成，右心室运动功能减退，伴有轻度肺动脉高压。本报告描述了我们对患有儿茶酚胺诱导性心肌病的嗜铬细胞瘤切除术进行麻醉管理的经验，该患者对高剂量血管加压素和肾上腺素几乎没有反应。
