From the Department of Anesthesia and Perioperative Medicine.
Division of Cardiac Surgery.
A A Pract. 2021 Feb 5;15(2):e01348. doi: 10.1213/XAA.0000000000001348.
A 33-year-old woman presented with fulminant eosinophilic myocarditis requiring venoarterial extracorporeal membrane oxygenation (ECMO). A computed tomography (CT) scan revealed a retroperitoneal mass that was eventually diagnosed as a pheochromocytoma. This case highlights the need for a comprehensive diagnostic workup for acute cardiomyopathy manifesting as cardiogenic shock in young patients and the benefit of early initiation of mechanical support facilitating both diagnosis and recovery.
一位 33 岁女性因暴发性嗜酸性心肌炎需要接受静脉-动脉体外膜肺氧合(ECMO)治疗。计算机断层扫描(CT)显示腹膜后有一个肿块,最终被诊断为嗜铬细胞瘤。本病例强调了对表现为心源性休克的年轻患者的急性心肌病进行全面诊断检查的必要性,以及早期启动机械支持的益处,这有助于诊断和恢复。