Extracorporeal membrane oxygenation combined with intra-aortic balloon counterpulsation for pheochromocytoma: A case report.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Shu-Ying Zeng, Hai-Hui Wu, Zhi-Hong Yu, Qing-Qian Zhang
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Abstract

Background: Pheochromocytoma (PHEO) is a type of tumor that originates from chromaffin cells in the adrenal medulla and is classified as an adrenal paraganglioma. PHEOs can secrete catecholamines, leading to a variety of symptoms. Accurate diagnosis and appropriate treatment selection are crucial for favorable outcomes in these cases.

Case summary: The patient presented with unexplained chest tightness, palpitations, and pink sputum. Upon examination and analysis of laboratory results, a diagnosis of adrenal PHEO was established. The PHEO secreted high levels of catecholamines, causing sudden fluctuations in blood pressure and heart rate, leading to extremely unstable hemodynamics. Treatment with extracorporeal membrane oxygenation and intra-aortic balloon counterpulsation helped stabilize the patient's vital signs, allowing for timely surgical intervention.

Conclusion: The combination of extracorporeal membrane oxygenation and intra-aortic balloon counterpulsation can enhance tissue perfusion, thus providing a solid foundation for the accurate diagnosis and effective surgical treatment of PHEO.

体外膜氧合联合主动脉内球囊反搏治疗嗜铬细胞瘤1例。
背景:嗜铬细胞瘤(PHEO)是一种起源于肾上腺髓质的嗜铬细胞的肿瘤,被归类为肾上腺副神经节瘤。pheo可以分泌儿茶酚胺,导致各种症状。准确的诊断和适当的治疗选择对于这些病例的良好预后至关重要。病例总结:患者出现不明原因的胸闷、心悸和粉红色痰。经检查和分析实验室结果,诊断肾上腺PHEO成立。PHEO分泌高水平的儿茶酚胺,引起血压和心率的突然波动,导致极度不稳定的血液动力学。体外膜氧合和主动脉内球囊反搏有助于稳定患者的生命体征,及时进行手术干预。结论:体外膜氧合联合主动脉内球囊反搏可增强组织灌注,为PHEO的准确诊断和有效手术治疗提供了坚实的基础。
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来源期刊
World Journal of Clinical Cases
World Journal of Clinical Cases Medicine-General Medicine
自引率
0.00%
发文量
3384
期刊介绍: The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.
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