{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:59Z","timestamp":1787762039746,"version":"build-2784847793"},"reference-count":12,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Pheochromocytoma, an uncommon neuroendocrine neoplasm, has the potential to precipitate acute catecholamine cardiomyopathy (ACIC), a perilous condition characterized by cardiogenic shock and the failure of multiple organ systems. The significance of early diagnosis and the implementation of a multidisciplinary approach are paramount for patient survival. A 40\u2010year\u2010old female patient presented with a 6\u2010day history of an adrenal mass, labile hypertension range of 180\u2013120\/80\u201390\u2009mmHg, hyperglycemia at 19\u2009mmol\/L, and respiratory distress that progressed to cardiogenic shock with a left ventricular ejection fraction (LVEF) of 18%. Imaging studies unveiled a right adrenal mass; biochemical analyses substantiated elevated levels of plasma metanephrines. The employment of venoarterial extracorporeal membrane oxygenation (ECMO) served to stabilize hemodynamic parameters, whereas continuous renal replacement therapy (CRRT) was instrumental in managing the multiorgan dysfunction. Preoperative \u03b1\u2010blockade with phenoxybenzamine was administered to alleviate catecholamine toxicity. The definitive therapeutic intervention comprised a da Vinci robot\u2010assisted adrenalectomy conducted with the support of ECMO. Following the surgical procedure, the patient's vital signs reverted to normal, and the LVEF improved to 55% at the 6\u2010month follow\u2010up. The patient was able to resume her daily activities without any residual functional impairment. This case underscores the efficacy of the synergistic application of ECMO with robotic surgery in the management of pheochromocytoma\u2010induced ACIC. This approach accentuates the importance of rapid diagnostic procedures, mechanical support systems, and minimally invasive surgical techniques in critical care scenarios. Further research is warranted to establish standardized protocols for such combined therapeutic interventions.<\/jats:p>","DOI":"10.1002\/ccr3.70712","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T04:19:55Z","timestamp":1754453995000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<scp>ECMO<\/scp>\u2010Assisted Da Vinci Robotic Surgery for Pheochromocytoma\u2010Induced Acute Catecholamine Cardiomyopathy: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"given":"Qi","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Urology The Third Central Hospital of Tianjin  Tianjin China"},{"name":"Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases  Tianjin China"},{"name":"Artificial Cell Engineering Technology Research Center  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9939-4609","authenticated-orcid":false,"given":"Jiayan","family":"Xin","sequence":"additional","affiliation":[{"name":"Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases  Tianjin China"},{"name":"Artificial Cell Engineering Technology Research Center  Tianjin China"},{"name":"Tianjin Institute of Hepatobiliary Disease  Tianjin China"},{"name":"Department of Cardiology The Third Central Hospital of Tianjin  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqiong","family":"Cui","sequence":"additional","affiliation":[{"name":"Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liya","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The Third Central Hospital of Tianjin  Tianjin 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