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Phaeochromocytoma crisis – a rare indication for extracorporeal membrane oxygenation
Author(s) -
Chao A.,
Yeh Y. C.,
Yen T. S.,
Chen Y. S.
Publication year - 2008
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2007.05251.x
Subject(s) - extracorporeal membrane oxygenation , medicine , cardiogenic shock , oxygenation , refractory (planetary science) , shock (circulatory) , resuscitation , anesthesia , intensive care medicine , myocardial infarction , cardiology , physics , astrobiology
Summary We report on a case of phaeochromocytoma whose initial presentation mimicked an acute myocardial infarction. Veno‐arterial extracorporeal membrane oxygenation was used for the management of refractory cardiogenic shock and massive lung oedema. Suspicion and diagnosis of a phaeochromocytoma were made due to its unique clinical presentation during extracorporeal membrane oxygenation. Stabilisation of the crisis and recovery of cardiopulmonary function were achieved using the support of extracorporeal membrane oxygenation. This case highlights the difficulty in the differential diagnosis of cardiogenic shock secondary to phaeochromocytoma and the important role of extracorporeal membrane oxygenation can have in the successful resuscitation and management of these patients.