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Atomoxetine-Induced Pheochromocytoma and Paraganglioma Crisis Managed With Veno-Arterial Extracorporeal Membrane Oxygenation.
Cureus
November 2024
Department of Emergency and Critical Care Medicine, Tokai University School of Medicine, Isehara, JPN.
Pheochromocytoma and paragangliomas (PPGLs) crises can be triggered by various factors, including norepinephrine reuptake inhibitors used to treat attention deficit hyperactivity disorder (ADHD), which worsen symptoms in patients with PPGLs. Therefore, attention should be paid to the potential for serious adverse reactions in patients with PPGLs taking ADHD medications. A 21-year-old man presented to the emergency department with acute onset of severe respiratory and circulatory failure after initiating atomoxetine treatment.
View Article and Find Full Text PDFSuccessful surgical treatment for primary cardiac angiosarcoma: a case report.
Gen Thorac Cardiovasc Surg Cases
November 2023
Department of Radiotherapy, Takarazuka City Hospital, Hyogo, Japan.
Background: Primary cardiac angiosarcomas are extremely rare and their prognosis is poor. Surgical resection is the first-line treatment; however, no clear standard of care has been clearly established because of the rarity of these tumors.
Case Presentation: A 61-year-old man who had presented with dyspnea on exertion was referred to our hospital.
Intraoperative intra-aortic balloon pump insertion: step by step.
Multimed Man Cardiothorac Surg
October 2024
Department of Cardiac Surgery, Hospital de la Santa Creu i Sant Pau - Sant Pau Biomedical Research Institute (IIB SANT PAU), Barcelona, Spain.
A 76-year-old patient with non-ST elevation myocardial infarction was admitted to our hospital. Coronary angiography revealed significant left main and two-vessel coronary artery disease. Preoperative testing indicated severe left ventricular dysfunction.
View Article and Find Full Text PDFRemoval of an intra-aortic thrombus.
Multimed Man Cardiothorac Surg
October 2024
Division of Cardiac Surgery, Yale School of Medicine, New Haven, CT.
A 70-year-old female patient was referred from a peripheral hospital to our department with an incidental finding of an intra-aortic mass. Chest access was gained by a median sternotomy, and visualization of the intra-aortic mass was achieved using epiaortic ultrasound. After systemic heparinization, arterial cannulation was performed in the distal aortic arch.
View Article and Find Full Text PDFUsing a Military-Civilian Partnership to Enhance Clinical Readiness and Sustainment for Air Force Critical Care Nurses.
Crit Care Nurse
October 2024
Capt Roman Aguon Salas, USAF, NC, is pursuing a second master's degree at San Diego State University, California.
Background: Decreases in size, capability, clinical volumes, case mixes, and complex care opportunities in military treatment facilities contribute to the atrophy of clinical skills among medical professionals in these facilities.
Local Problem: The COVID-19 pandemic resulted in a 39% decline in admissions to a military critical care unit. The decrease in patient census contributed to skill sustainment challenges.
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