Pheochromocytoma presenting as takotsubo-like cardiomyopathy following delivery
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Contributors
Abstract
Diagnosis of pheochromocytoma during pregnancy can be difficult, and the tumor carries an unfavorable prognosis if not diagnosed and treated in a timely manner.Methods: To presenta case of Takotsubo-like cardiomyopathy characterized by transient left ventricular apical ballooning due to pheochromocytoma following delivery.Results: A few hours after Caesarean section, a 32-year-old Caucasian female presented with pulmonary edema followed by cardiac arrest with echocardiographic and ventriculographic evidence of reversible acute myocardial failure characteristic of Takotsubo-like cardiomyopathy. A previously unrecognized adrenal pheochromocytoma was found during her clinical work-up. Left ventricle (LV) function normalized after surgical removal of the tumor, which was carried out after implementing an alpha-Adrenoreceptor blockade. Hemorrhagic necrosis of the pheochromocytoma was seen on histopathologicanalysis; this may have triggered the sequence of events leading to the development of Takotsubo-like cardiomyopathy and hemodynamic collapse.Conclusion: To the best of our knowledge, this is the first reported case of Takotsubo-like cardiomyopathy related to pheochromocytomafollowing delivery. This emphasizes the increased cardiovascular risk if pheochromocytoma isnot diagnosed and treated in a timely manner, especially during pregnancy.
Details
Original language | English |
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Pages (from-to) | e233-e236 |
Journal | Endocrine practice : American Association of Clinical Endocrinologists |
Volume | 20 |
Issue number | 12 |
Publication status | Published - 1 Dec 2014 |
Peer-reviewed | Yes |