Retroperitoneal Paraganglioma-Induced Cardiogenic Shock Rescued by Preoperative Arterial Embolization

Abstract EN

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.