Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jul 5:2018:4058046.
doi: 10.1155/2018/4058046. eCollection 2018.

Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization

N Houari  1 , S Touzani  1 , H Salhi  2 , M-Y Alaoui Lamrani  3 , K Ibnmajdoub  4 , H El Ouahabi  2 , A El Bouazzaoui  1 , B Boukatta  1 , M Maâroufi  3 , K Maazaz  4 , N Kanjaa  1
Affiliations
Case Reports

Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization

N Houari et al. Case Rep Crit Care. .

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
A contrast abdominal CT scan showing a 7.0 x 5.0 cm heterogeneous mass (black asterisk) located between the abdominal aorta (Ao) and the inferior vena cava, pushing the head of the pancreas (p).
Figure 2
Figure 2
Angiography showing several feeding arteries arising from the right renal artery (a) and the 3rd right lumbar artery (L3) (b). Successful embolization of several arterial arteries: e.g., the 3rd right lumbar artery (c).
Figure 3
Figure 3
Surgical site showing the presence of the paraganglioma with intimate contact with the abdominal aorta and the inferior vena cava after mobilization of the duodenum.
Figure 4
Figure 4
Cut gross specimen showing a tan colored mass.
See this image and copyright information in PMC

References

    1. Tischler A. S. Pheochromocytoma and extra-adrenal paraganglioma: Updates. Archives of Pathology & Laboratory Medicine. 2008;132:1272–1284. - PubMed
    1. Erickson D., Kudva Y. C., Ebersold M. J., et al. Benign paragangliomas: clinical presentation and treatment outcomes in 236 patients. The Journal of Clinical Endocrinology & Metabolism. 2001;86(11):5210–5216. doi: 10.1210/jc.86.11.5210. - DOI - PubMed
    1. Kanjaa N., Khatouf M., Elhijri A., et al. Phéochromocytomes. Formes graves et inhabituelles. Annales Françaises d’Anesthésie et de Réanimation. 1999;18(4):458–464. doi: 10.1016/S0750-7658(99)80097-5. - DOI - PubMed
    1. Bouazzaoui A. E., Hammas N., Houari N., et al. Syndrome coronaire aigu: un mode de révélation peu fréquent du phéochromocytome. Pan African Medical Journal. 2015;22 doi: 10.11604/pamj.2015.22.151.7505. - DOI - PMC - PubMed
    1. Charon P., Hamwi A, Laigneau P., Beroud P. Forme pseudo-coronarienne de rupture hémorragique d’un pheochromocytome. A propos d’une observation. Annales De Cardiologie Et D'Angeiologie. 1991;40:193–197. - PubMed

Publication types

LinkOut - more resources