Korean J Crit Care Med.  2015 Nov;30(4):299-302. 10.4266/kjccm.2015.30.4.299.

Catecholamine-Induced Cardiomyopathy associated with Neuroblastoma and Treated with Extracorporeal Membrane Oxygenation as a Bridge to Recovery

• Yi J
• Kim SO
• Park JM
• Byun SH
• Jung H
• Hong SW

• KMID: 2156184
• DOI: http://doi.org/10.4266/kjccm.2015.30.4.299

Abstract

Catecholamine-induced cardiomyopathy associated with neuroblastoma is rarely reported. We report a case of catecholamine-induced cardiomyopathy associated with neuroblastoma in a 33-month-old female that was treated with extracorporeal membrane oxygenation (ECMO). She was tentatively diagnosed with acute myocarditis and presented with hypertension. Because of rapid patient deterioration despite pharmacological treatments, ECMO was applied. ECMO can be helpful in cases of catecholamine-induced cardiomyopathy associated with neuroblastoma.

Keyword

cardiomyopathies; catecholamines; extracorporeal membrane oxygenation; hypertension; myocarditis; neuroblastoma

MeSH Terms

Cardiomyopathies*
Catecholamines
Child, Preschool
Extracorporeal Membrane Oxygenation*
Female
Humans
Hypertension
Myocarditis
Neuroblastoma*
Catecholamines

Figure

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  Fig. 1. Preoperative plain chest radiograph shows cardiomegaly and bilateral alveolar infiltrates.

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  Fig. 2. Transesophageal echocardiography shows severe mitral regurgitation due to ruptured chordae tendineae. HR: heart rate.

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  Fig. 3. Thoracic and abdominal computed tomography angiography reveals a 4-cm, heterogeneous mass in the left kidney, consistent with neuroblastoma.

Reference

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