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J Thorac Cardiovasc Surg 2008;135:434-435
© 2008 The American Association for Thoracic Surgery

Brief Communication

Pheochromocytoma-induced inverted Takotsubo cardiomyopathy: A case of patient resuscitation with extracorporeal life support

Rachid Zegdi, MD PhDa,b,*, Caroline Parisot, MDa, Ghassan Sleilaty, MDa, Alain Deloche, MDa,b, Jean-Noël Fabiani, MDa,b

a AP-HP, Assistance Publique—Hôpitaux de Paris, Hôpital Européen Georges Pompidou Service de Chirurgie Cardiovasculaire, Paris, France
b Université René Descartes, Paris, France

Received for publication June 29, 2007; accepted for publication August 7, 2007.

* Address for reprints: Rachid Zegdi, MD, PhD, Hôpital Européen Georges Pompidou, Service de Chirurgie Cardiovasculaire, 20, rue Leblanc, 75908 Paris, France. (Email: rzegdi@hotmail.com).

The first 20% of the full text of this article appears below.

Mechanical circulatory support for pheochromocytoma-induced cardiomyopathy has been reported rarely.1Go We describe the case of a patient with an atypical form of pheochromocytoma-induced cardiogenic shock who was successfully managed with extracorporeal life support (ECLS).

Clinical Summary

A 51-year-old woman with a medical history suggestive of Crohn disease and newly diagnosed hypertension had acute respiratory failure 2 hours after mastectomy for breast cancer. Clinically, the patient harbored pulmonary edema, tachycardia, and high blood pressure. Electrocardiography revealed ST-segment depression in inferior and lateral leads, and initial troponin I blood level was increased to 3 µg/L.

On admission to the intensive care unit, the patient had cardiogenic shock with metabolic acidosis (pH = 7.14), acute renal failure (creatinine level = 184 µmol/L), and increased troponin I level (27 µg/L; reference range < 0.1 µg/L). Echocardiography revealed severe global left ventricular hypokinesia (ejection fraction [EF] < . . . [Full Text of this Article]


Related Article

Pheochromocytoma-induced inverted Takotsubo cardiomyopathy: A case of patient resuscitation with extracorporeal life support
Rachid Zegdi, Caroline Parisot, Ghassan Sleilaty, Alain Deloche, and Jean-Noël Fabiani
J. Thorac. Cardiovasc. Surg. 2008 135: 434-435. [Extract] [Full Text] [PDF]



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