{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:25:20Z","timestamp":1781655920324,"version":"3.54.5"},"reference-count":19,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2021,11,13]],"date-time":"2021-11-13T00:00:00Z","timestamp":1636761600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Perioperative management of pheochromocytoma in the setting of catecholamine-induced heart failure requires careful consideration of hemodynamic optimization and possible mechanical circulatory support. A Jehovah\u2019s Witness patient with catecholamine-induced acutely decompensated heart failure required dependable afterload reduction for a cardio-protective strategy. This was emphasized due to the relative contraindication to perioperative anticoagulation required for mechanical circulatory support. A phenylephrine challenge clearly demonstrated adequate alpha blockade after only 24 hours of phenoxybenzamine treatment. This resulted in advancement of the surgery date. This case also highlights management of beta blockade, volume and salt loading, autologous blood transfusion, and profound post-operative vasoplegia in the setting of cardiogenic shock. Careful attention to hemodynamic optimization and cardio-protective strategies ultimately resulted in positive outcome for this challenging clinical scenario.<\/jats:p>","DOI":"10.2478\/jccm-2021-0038","type":"journal-article","created":{"date-parts":[[2021,11,14]],"date-time":"2021-11-14T22:17:03Z","timestamp":1636928223000},"page":"55-60","source":"Crossref","is-referenced-by-count":2,"title":["Pheochromocytoma, Fulminant Heart Failure, and a Phenylephrine Challenge. The Perioperative Management of Adrenalectomy in a Jehovah\u2019s Witness Patient: A Case Report"],"prefix":"10.2478","volume":"8","author":[{"given":"Sarah A.","family":"Bachman","sequence":"first","affiliation":[{"name":"Dartmouth-Hitchcock Medical Center , Lebanon , NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan S.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Dartmouth-Hitchcock Medical Center , Lebanon , NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter S.","family":"Burrage","sequence":"additional","affiliation":[{"name":"Dartmouth-Hitchcock Medical Center , Lebanon , NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leigh C","family":"Hickerson","sequence":"additional","affiliation":[{"name":"Dartmouth-Hitchcock Medical Center , Lebanon , NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2021,11,13]]},"reference":[{"key":"2024042806003392451_j_jccm-2021-0038_ref_001","doi-asserted-by":"crossref","unstructured":"Runyan B, Hanak CR, Mahendiran S, Allamaneni S, Vester S. Type A Aortic Dissection Complicated by Pheochromocytoma. Ann Thorac Surg. 2019;1:e13-e14.","DOI":"10.1016\/j.athoracsur.2018.05.084"},{"key":"2024042806003392451_j_jccm-2021-0038_ref_002","doi-asserted-by":"crossref","unstructured":"Agarwal V, Kant G, Hans N, Messerli FH. Takotsubo-like cardiomyopathy in pheochromocytoma. Int J Cardiol. 2011;153:241-8.","DOI":"10.1016\/j.ijcard.2011.03.027"},{"key":"2024042806003392451_j_jccm-2021-0038_ref_003","doi-asserted-by":"crossref","unstructured":"Naderi N, Amin A, Setayesh A, Pouraliakbar H, Mozaffari K, Maleki M. Pheochromocytoma induced reverse tako-tsubo with rapid recovery of left ventricular function. Cardiol J. 2012;19:527-31.","DOI":"10.5603\/CJ.2012.0097"},{"key":"2024042806003392451_j_jccm-2021-0038_ref_004","doi-asserted-by":"crossref","unstructured":"Prejbisz A, Lenders JW, Eisenhofer G, Januszewicz A. Cardiovascular manifestations of phaeochromocytoma. 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