Pheochromocytoma and cardiogenic failure: an indication for emergency adrenalectomy

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
J VandwalleF Saint

Abstract

To identify cardiogenic failure or cardiogenic shock associated with pheochromocytoma diagnosis and emergency adrenalectomy. Update this unusual presentation of pheochromocytoma. Between 1998 and 2009, 119 adrenalectomies were performed in our department, among which 19 cases for pheochromocytoma. We reported three cases with cardiogenic failure or cardiogenic shock associated with emergency adrenalectomy. Patients were 36, 41 and 67 years old. The elapsed time between cardiogenic failure and surgery was 0, 7 and 19 days. The first diagnosis was a viral myocarditis in those three cases. The diagnosis of adrenal pheochromocytoma was done in a second step by the association of adrenal tumour on abdominal CT scan and detection of significantly elevated plasma/urine catecholamine. Severe systolic dysfunction with low ejection fraction was associated in all cases. Cardiac function was quickly restored after adrenalectomy. Cardiac emergency associated with pheochromocytoma is an unusual clinical presentation. When diagnosis fails to be performed, patients have a very poor prognosis. According to a review of the sparse literature, only early recognition and emergency adrenalectomy can improve the outcome.

References

Feb 12, 2005·Cardiology in Review·Branislav SchifferdeckerJayashri Aragam
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Apr 8, 2006·Urology·Michael E MoranDavid H Zornow
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Sep 2, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·C DjeffalJ Petit
Dec 17, 2008·Internal Medicine·Xue-Ming WuChuen-Den Tseng

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Citations

Jun 1, 2013·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·W MajdoubN Kchir
Feb 3, 2012·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Run YuSerguei I Bannykh

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