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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
N Houari1, S Touzani1, H Salhi2
1Anesthesiology & Intensive Care Unit A4, Hassan II University Hospital, Fez, Morocco.
Case Reports in Critical Care
|August 4, 2018
Summary
Catecholamine-induced cardiogenic shock from paragangliomas is rare but life-threatening. Prompt hemodynamic support and embolization can stabilize patients before surgery, improving outcomes.
Area of Science:
- Cardiology
- Endocrinology
- Oncology
Background:
- Catecholamine-induced cardiogenic shock is a rare but severe complication of paragangliomas.
- Paragangliomas are neuroendocrine tumors that can secrete excessive catecholamines.
- The high mortality associated with this condition necessitates a rapid, multidisciplinary management strategy.
Observation:
- A case report details an 18-year-old woman presenting with catecholamine-induced cardiogenic shock and acute adrenergic myocarditis.
- The patient had a retroperitoneal secreting paraganglioma.
- Hemodynamic support and emergency arterial embolization were crucial interventions.
Findings:
- Paraganglioma-induced myocarditis, though rare, can present dramatically.
- Effective management hinges on immediate and appropriate hemodynamic support.
- Arterial embolization serves as a viable option for patient stabilization prior to definitive surgical excision.
Implications:
- This case highlights the importance of considering paragangliomas in patients with unexplained cardiogenic shock.
- Early recognition and intervention, including hemodynamic support and embolization, are critical for favorable outcomes.
- Multidisciplinary collaboration is essential for managing these complex cases.
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