Pheochromocytoma revealed by acute heart failure. When should we operate? Presented at the ESES Congress, Gothenburg May 25–26, 2012 View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-06

AUTHORS

G. Müller, F. Saint, A. Hamy, J. C. Lifante, B. Carnaille, F. Sebag, F. Ménégaux, J. Vandwalle, D. Drui, C. Caillard, P. Rodien, M. Roy, J. L. Peix, F. Pattou, L. Brunaud, J. F. Henry, E. Mirallié

ABSTRACT

PURPOSE: The aim of this study was to assess the safety and efficacy of adrenalectomy on patients with pheochromocytoma diagnosed at the time of an acute heart failure (AHF). METHODS: We reported cases of patients who presented an AHF secondary to a pheochromocytoma during a period of 10 years. The diagnosis of AHF was defined by a left ventricular ejection fraction of less than 30 % or the use of circulatory assistance. They had adrenalectomy as emergency surgery or later. Morbidity and mortality of surgery were studied. RESULTS: Thirteen patients required an adrenalectomy for AHF secondary to pheochromocytoma. Four patients (31 %) had an adrenalectomy in emergency. Nine patients (69 %) had a delayed surgery with a median delay of 25 days (7-180). Eight patients had circulatory assistance (61 %). Five of them had a circulatory assistance and a delayed surgery (38 %), two of them had a circulatory assistance followed by emergency surgery (at 1.5 and 3 days) and one had emergency surgery immediately followed by circulatory assistance. Emergency surgery was performed by laparotomy in all cases and delayed surgery by laparoscopy for seven patients (54 %). Perioperative complications consisted in: one circulatory arrest, two bleedings requiring transfusion, one intestinal ischaemia, one haemoperitoneum with re-operation (day 8). One patient died on day 5. Post-operative course of patients with delayed surgery was uneventful. CONCLUSIONS: AHF revealing a pheochromocytoma is a rare and serious event. Patients with emergency surgery have more complications than those with delayed surgery. More... »

PAGES

729-733

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00423-012-1040-7

DOI

http://dx.doi.org/10.1007/s00423-012-1040-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1051565723

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23250652


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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00423-012-1040-7'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00423-012-1040-7'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00423-012-1040-7'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00423-012-1040-7'


 

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306 https://www.grid.ac/institutes/grid.410463.4 schema:alternateName Centre Hospitalier Regional et Universitaire de Lille
307 schema:name Department of Digestive and Endocrine Surgery, Lille University Hospital, Lille, France
308 rdf:type schema:Organization
309 https://www.grid.ac/institutes/grid.410527.5 schema:alternateName Centre Hospitalier Universitaire de Nancy
310 schema:name Department of Hepatobiliary, Digestive and Endocrine Surgery, CHU Nancy-Brabois, Vandoeuvre-les-Nancy, France
311 rdf:type schema:Organization
312 https://www.grid.ac/institutes/grid.411147.6 schema:alternateName Centre Hospitalier Universitaire de Angers
313 schema:name Department of Digestive and Endocrine Surgery, CHU d’Angers, Angers, France
314 Department of Endocrinology, CHU Angers, Angers, France
315 rdf:type schema:Organization
316 https://www.grid.ac/institutes/grid.411266.6 schema:alternateName Hôpital de la Timone
317 schema:name Department of General and Endocrine Surgery, Hôpital de la Timone, Marseille, France
318 rdf:type schema:Organization
319 https://www.grid.ac/institutes/grid.411439.a schema:alternateName Pitié-Salpêtrière Hospital
320 schema:name Department of General and Digestive Surgery, Hôpital de la Pitié-Salpêtrière, Paris, France
321 rdf:type schema:Organization
 




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