Pascal Colson*, Philippe Gaudard, Remy Coves, Norddine Zeroual and Jacob Eliet
Department of Anesthesiology and Intensive Care, Hospital Arnaud-De-Villeneuve, FranceFulltext PDF
Pheochromocytoma crisis may induce severe circulatory collapse, and mechanical support requirement as a bridge to recovery before pheochromocytoma surgical withdrawal. Here we report 4 cases of patients who suffered from an fulminant pheochromocytoma crisis with a severe cardiogenic shock. The pheochromocytoma surgical removal was successfully performed on emergency under Veino-Arterial Extracorporeal Membrane Oxygenation (VA ECMO). The definitive treatment for pheochromocytoma is surgical excision of the tumor but often delayed to allow preoperative pharmacologic preparation. In case of life threatening condition, VA ECMO support may allow surgery to be performed without delay. Though bypassing catecholamine blockade, this approach may reduce the risk of patient exposure to prolonged cardiotoxic effect of catecholamines and may favor shorter and better cardiac recovery.
Colson P, Gaudard P, Coves R, Zeroual N, Eliet J. Life-Threatening Pheochromocytoma Crisis Operated On Emergency Under Extracorporeal Life Support: About 4 Case Reports. Clin Surg. 2019; 4: 2293.