Pheochromocytoma-Induced Takotsubo Cardiomyopathy

Authors

Majed Afana, Henry Ford HealthFollow
Rishi J. Panchal, Henry Ford Health
Rebecca Simon, Henry Ford Health
Amal Hejab, Henry Ford HealthFollow
Sharon W. Lahiri, Henry Ford HealthFollow
Akshay K. Khandelwal, Henry Ford HealthFollow
Michael P. Hudson, Henry Ford HealthFollow

Recommended Citation

Afana M, Panchal RJ, Simon RM, Hejab A, Lahiri SW, Khandelwal AK, and Hudson MP. Pheochromocytoma-induced takotsubo cardiomyopathy. Tex Heart Inst J 2019; 46(2):124-127.

Document Type

Article

Publication Date

4-1-2019

Publication Title

Texas Heart Institute journal

Abstract

Pheochromocytoma, a rare catecholamine-secreting tumor, typically manifests itself with paroxysmal hypertension, tachycardia, headache, and diaphoresis. Less often, symptoms related to substantial hemodynamic compromise and cardiogenic shock occur. We report the case of a 66-year-old woman who presented with abdominal pain. Examination revealed a large right adrenal mass, cardiogenic shock, and severe heart failure in the presence of normal coronary arteries. Within days, the patient's hemodynamic status and left ventricular ejection fraction improved markedly. Results of imaging and biochemical tests confirmed the diagnosis of pheochromocytoma-induced takotsubo cardiomyopathy. Medical therapy and right adrenalectomy resolved the patient's heart failure, and she was asymptomatic postoperatively. We recommend awareness of the link between pheochromocytoma and takotsubo cardiomyopathy, and we discuss relevant diagnostic and management principles.

Medical Subject Headings

Adrenal Gland Neoplasms; Adrenalectomy; Aged; Diagnosis, Differential; Electrocardiography; Female; Humans; Magnetic Resonance Imaging, Cine; Pheochromocytoma; Takotsubo Cardiomyopathy; Tomography, X-Ray Computed

PubMed ID

31236077

Volume

46

Issue

2

First Page

124

Last Page

127