Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Pheochromocytoma-induced cardiogenic shock successfully treated by extracorporeal circulation

갈색세포종이 유발한 심인성 쇼크의 체외순환 보조 요법에 의한 성공적 치료

  • Lee, Min Young (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Sang Bae (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Cha, Hyun Seo (Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • You, Ji Hong (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Choi, Eui-Young (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Park, Jong Suk (Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 이민영 (연세대학교 의과대학 강남세브란스병원 내과학교실) ;
  • 이상배 (연세대학교 의과대학 강남세브란스병원 내과학교실) ;
  • 차현서 (연세대학교 의과대학 강남세브란스병원 병리학교실) ;
  • 유지홍 (연세대학교 의과대학 강남세브란스병원 내과학교실) ;
  • 최의영 (연세대학교 의과대학 강남세브란스병원 내과학교실) ;
  • 박종숙 (연세대학교 의과대학 강남세브란스병원 내과학교실)
  • Received : 2016.08.09
  • Accepted : 2016.10.05
  • Published : 2017.12.31
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Abstract

Pheochromocytoma can present with various symptoms including cardiogenic shock and cardiac arrest. Particularly, in cases of cardiogenic shock of unknown origin, pheochromocytoma should be considered. A 20-year-old woman without any medical history visited our emergency department due to nausea, vomiting, headache, and chest pain. Echocardiography revealed severe left ventricular dysfunction. Mechanical ventilation and veno-arterial extracorporeal membrane oxygenation (ECMO) were implemented owing to her unstable vital signs. For unstable vital sign and cardiogenic shock in a young woman without any previous medical history, pheochromocytoma was considered and diagnosed based on elevated levels of catecholamine derivatives in a 24-hour urine sample. Cardiac function recovered and ECMO was discontinued on the 5th day of hospitalization. She later underwent an elective adrenalectomy and no recurrence was found during the follow-up period. We reported a case of pheochromocytoma which was presented with cardiogenic shock in a young woman with no concomitant disease, and successfully treated with ECMO followed by an elective adrenalectomy.

Keywords

References

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