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갈색세포종이 유발한 심인성 쇼크의 체외순환 보조 요법에 의한 성공적 치료

Other Titles
 Pheochromocytoma-induced cardiogenic shock successfully treated by extracorporeal circulation 
Authors
 이민영  ;  이상배  ;  차현서  ;  유지홍  ;  최의영  ;  박종숙 
Citation
 Yeungnam University Journal of Medicine (영남의대학술지), Vol.34(2) : 285-289, 2017 
Journal Title
 Yeungnam University Journal of Medicine (영남의대학술지) 
ISSN
 1225-7737 
Issue Date
2017
Keywords
Cardiogenic shock ; Pheochromocytoma ; Adrenalectomy, Extracorporeal membrane oxygenation
Abstract
Pheochromocytoma can present with various symptoms including cardiogenic shock and cardiac arrest. Particularly, in cases of cardiogenic shock of unknown origin, pheochromocytoma should be considered. A 20-year-old woman without any medical history visited our emergency department due to nausea, vomiting, headache, and chest pain. Echocardiography revealed severe left ventricular dysfunction. Mechanical ventilation and veno-arterial extracorporeal membrane oxygenation (ECMO) were implemented owing to her unstable vital signs. For unstable vital sign and cardiogenic shock in a young woman without any previous medical history, pheochromocytoma was considered and diagnosed based on elevated levels of catecholamine derivatives in a 24-hour urine sample. Cardiac function recovered and ECMO was discontinued on the 5th day of hospitalization. She later underwent an elective adrenalectomy and no recurrence was found during the follow-up period. We reported a case of pheochromocytoma which was presented with cardiogenic shock in a young woman with no concomitant disease, and successfully treated with ECMO followed by an elective adrenalectomy
Files in This Item:
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral Biology (구강생물학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jong Suk(박종숙) ORCID logo https://orcid.org/0000-0002-5385-1373
Lee, Minyoung(이민영) ORCID logo https://orcid.org/0000-0002-9333-7512
Lee, Sang Bae(이상배) ORCID logo https://orcid.org/0000-0002-2998-6534
Choi, Eui Young(최의영) ORCID logo https://orcid.org/0000-0003-3732-0190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/167925
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