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KMID : 0191120080230020350
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Journal of Korean Medical Science
2008 Volume.23 No. 2 p.350 ~ p.354
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Catastrophic Catecholamine-Induced Cardiomyopathy Mimicking Acute Myocardial Infarction, Rescued by Extracorporeal Membrane Oxygenation (ECMO) in Pheochromocytoma
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Suh Il-Woo
Kim Jae-Joong
Hong Myeong-Ki
Lee Cheol-Whan
Kim Young-Hak
Park Seong-Wook
Park Seung-Jung
Lee Jae-Won
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Abstract
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Pheochromocytoma is a rare disorder and functioning tumor composed of chromaffin cells that secrete catecholamines. Patients with a pheochromocytoma ‘crisis’ have a high mortality in spite of aggressive therapy. We present a case with a severe acute catecholamine cardiomyopathy presenting ST segment elevation with cardiogenic shock after hemorrhage into a left suprarenal tumor. Intra-aortic balloon pump (IABP) support, combined with inotropic therapy, was performed. However, the patient deteriorated rapidly and was unresponsive to a full dose of inotropics and IABP. We decided to apply extracorporeal membrane oxygenation (ECMO) device for the patient. His clinical state began to improve 3 days after ECMO. After achieving hemodynamic stabilization, he underwent successful laparoscopic left adrenalectomy. He needed no further cardiac medication after discharge.
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KEYWORD
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Shock, Cardiogenic, Catecholamines, Intra-Aortic Balloon Pumping, Extracorporeal Membrane
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