1. Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
- Author
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Houari, N., Touzani, S., Salhi, H., Alaoui Lamrani, M.-Y., Ibnmajdoub, K., El Ouahabi, H., El Bouazzaoui, A., Boukatta, B., Maâroufi, M., Maazaz, K., and Kanjaa, N.
- Subjects
Article Subject - Abstract
Background. Catecholamine-induced cardiogenic shock is a rare manifestation of paragangliomas. The high mortality rate of this condition makes the immediate, multidisciplinary approach mandatory. Case Report. We report a case of an 18-year-old woman with a retroperitoneal secreting paraganglioma, complicated with a cardiogenic shock and an acute adrenergic myocarditis, requiring hemodynamic support and emergency arterial embolization prior to surgical excision, with a favorable outcome. Conclusion. Paraganglioma-induced myocarditis is rare but can be dramatic. Management requires appropriate and immediate hemodynamic support. Embolization may be an alternative to stabilize the patient prior to surgery.
- Published
- 2018
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