tailieunhanh - báo cáo khoa học: "Emergency adrenalectomy due to acute heart failure secondary to complicated pheochromocytoma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Emergency adrenalectomy due to acute heart failure secondary to complicated pheochromocytoma: a case report | Salinas et al. World Journal of Surgical Oncology 2011 9 49 http content 9 1 49 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Emergency adrenalectomy due to acute heart failure secondary to complicated pheochromocytoma a case report Carlos León Salinas Oscar D Gomez Beltran Juan M Sanchez-Hidalgo Rubén Ciria Bru Francisco J Padillo and Sebastián Rufián Abstract Pheochromocytomas are catecholamine producing tumors arising mostly from chromaffin cells of the adrenal medulla. The most common clinical presentation is hypertension mainly in the form of paroxymal episodes. Cardiovascular manifestations include malignant arrhythmia and catecholamine cardiomyopathy mimicking acute coronary syndromes and acute heart failure. There are reports of pheochromocytomas presenting as acute coronary syndrome and rapidly leading to cardiogenic shock the failure of intensive medical treatment in these cases has prompted the need for emergency adrenalectomy as the only remaining option. We report on a case of complicated pheochromocytoma presenting as cardiogenic shock in which emergency adrenalectomy was performed following a total lack of response to intensive medical treatment. Background Pheochromocytomas are catecholamine-producing tumors arising mostly from chromaffin cells of the adrenal medulla. The most common clinical presentation is hypertension mainly in the form of paroxymal episodes. Cardiovascular manifestations include malignant arrhythmia and catecholamine cardiomyopathy mimicking acute coronary syndromes and acute heart failure. Pheochromocytoma may constitue a clear medical emergency and differential diagnosis poses a major challenge. There are reports of pheochromocytomas presenting as acute coronary syndrome and rapidly leading to cardiogenic shock the failure of intensive medical treatment in these cases has prompted the need for emergency adrenalectomy as the only remaining option. The literature contains few papers discussing the .

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