Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization

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, co...

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Main Authors:	N. Houari, S. Touzani, H. Salhi, M.-Y. Alaoui Lamrani, K. Ibnmajdoub, H. El Ouahabi, A. El Bouazzaoui, B. Boukatta, M. Maâroufi, K. Maazaz, N. Kanjaa
Format:	Article
Language:	English
Published:	Hindawi Limited 2018-01-01
Series:	Case Reports in Critical Care
Online Access:	http://dx.doi.org/10.1155/2018/4058046

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spelling	doaj-f35cc0e9e4e34495a6b63232e21a275e2020-11-25T02:21:21ZengHindawi LimitedCase Reports in Critical Care2090-64202090-64392018-01-01201810.1155/2018/40580464058046Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial EmbolizationN. Houari0S. Touzani1H. Salhi2M.-Y. Alaoui Lamrani3K. Ibnmajdoub4H. El Ouahabi5A. El Bouazzaoui6B. Boukatta7M. Maâroufi8K. Maazaz9N. Kanjaa10Anesthesiology & Intensive Care Unit A4, Hassan II University Hospital, Fez, MoroccoAnesthesiology & Intensive Care Unit A4, Hassan II University Hospital, Fez, MoroccoEndocrinology Department, Hassan II University Hospital, Fez, MoroccoImaging and Interventional Radiology Department, Hassan II University Hospital, Fez, MoroccoVisceral Surgery Department, Hassan II University Hospital, Fez, MoroccoEndocrinology Department, Hassan II University Hospital, Fez, MoroccoAnesthesiology & Intensive Care Unit A4, Hassan II University Hospital, Fez, MoroccoAnesthesiology & Intensive Care Unit A4, Hassan II University Hospital, Fez, MoroccoImaging and Interventional Radiology Department, Hassan II University Hospital, Fez, MoroccoVisceral Surgery Department, Hassan II University Hospital, Fez, MoroccoAnesthesiology & Intensive Care Unit A4, Hassan II University Hospital, Fez, MoroccoBackground. 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.http://dx.doi.org/10.1155/2018/4058046
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	N. Houari S. Touzani H. Salhi M.-Y. Alaoui Lamrani K. Ibnmajdoub H. El Ouahabi A. El Bouazzaoui B. Boukatta M. Maâroufi K. Maazaz N. Kanjaa
spellingShingle	N. Houari S. Touzani H. Salhi M.-Y. Alaoui Lamrani K. Ibnmajdoub H. El Ouahabi A. El Bouazzaoui B. Boukatta M. Maâroufi K. Maazaz N. Kanjaa Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization Case Reports in Critical Care
author_facet	N. Houari S. Touzani H. Salhi M.-Y. Alaoui Lamrani K. Ibnmajdoub H. El Ouahabi A. El Bouazzaoui B. Boukatta M. Maâroufi K. Maazaz N. Kanjaa
author_sort	N. Houari
title	Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_short	Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_full	Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_fullStr	Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_full_unstemmed	Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization
title_sort	retroperitoneal paraganglioma-induced cardiogenic shock rescued by preoperative arterial embolization
publisher	Hindawi Limited
series	Case Reports in Critical Care
issn	2090-6420 2090-6439
publishDate	2018-01-01
description	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.
url	http://dx.doi.org/10.1155/2018/4058046
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Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization

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