Inverted takotsubo syndrome complicated with cardiogenic shock requiring veno-arterial extracorporeal membrane oxygenation in a patient with bilateral pheochromocytoma: a case report

• Type: Article in International Scientific Journal
• Date: 2020

Authors

Faria, BMM (Author) Other; Portugues, J (Author) Other; Roncon-Albuquerque R Jr (Author) FMUP; Pimentel, R (Author) Other

Journal

The Journal is awaiting validation by the Administrative Services.

Title: EUROPEAN HEART JOURNAL-CASE REPORTS

ISSN: 2514-2119

Publisher: OXFORD UNIV PRESS

Indexing

ISI Web of Knowledge - 3 Citations

Scopus - 3 Citations

Other information

Authenticus ID: P-00T-427

DOI: 10.1093/ehjcr/ytaa055

Abstract (EN): Background Takotsubo syndrome (TS) is characterized by a transient left ventricular (LV) dysfunction and rarely presents with cardiogenic shock (CS). Inverted TS (ITS) is a rare entity associated with the presence of a pheochromocytoma. Case summary We present a case of a young woman was admitted to the emergency department due to intense headache, chest discomfort, palpitations, and breathlessness. An ITS secondary to a pheochromocytoma crisis presenting with CS was diagnosed. The patient was managed with veno-arterial extracorporeal membrane oxygenation, until recovery of LV function. On the 35th day of hospitalization, open bilateral adrenalectomy was performed. Discussion Takotsubo syndrome patients presenting with CS are challenging and clinicians should be aware of underlying causes. Specific triggers such as pheochromocytoma should systematically be considered particularly if ITS was presented. Extracorporeal life support devices could provide temporary mechanical circulatory support in patients with TS on refractory CS and help to manage complex cases with TS due to pheochromocytoma.

Language: English

Type (Professor's evaluation): Dissemination