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FAST MYOCARDIAL RECOVERY ENSURED BY THE COMBINED USE OF V-A ECMO and IMPELLA CP IN CARDIOGENIC SHOCK RELATED TO A PHEOCHROMOCYTOMA CRISIS
  • +2
  • Andrea Montalto,
  • Francesca Nicolo',
  • Vincenzo Polizzi,
  • Marina Comisso,
  • Francesco Musumeci
Andrea Montalto
San Camillo Forlanini Hospital
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Francesca Nicolo'
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Vincenzo Polizzi
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Marina Comisso
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Francesco Musumeci
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Abstract

Pheochromocytoma is a rare catecholamine-secreting tumor derived from chromaffin cells in the adrenal glands. A pheochromocytoma ‘crisis’ (PCC) can cause haemodynamic instability and end-organ damage or dysfunction. An excessive stimulation of cardiac myocytes could lead to myocardial damage with cardiogenic shock (CS). Use of mechanical circulatory support (MCS) might find an indication in this scenario as a bridge to myocardial recovery. We present the case of a patient successfully supported with ECMO (ExtraCorporeal Membrane Oxygenation) combined with IMPELLA CP heart pump (Abiomed Danvers, MA), for left ventricular (LV) unloading. MCS was used to favour myocardial recovery and avoid cardiac remodeling.

Peer review status:ACCEPTED

17 Apr 2020Submitted to Journal of Cardiac Surgery
18 Apr 2020Assigned to Editor
18 Apr 2020Submission Checks Completed
01 May 2020Review(s) Completed, Editorial Evaluation Pending
01 May 2020Editorial Decision: Accept