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April 1, 2019Texas Heart Institute JournalOpen Access

Medical therapy and right adrenalectomy resolved the patient's heart failure, and she was asymptomatic postoperatively.

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Population

A 66-year-old woman with abdominal pain, a large right adrenal mass, cardiogenic shock, and severe heart failure

Design

Case report

Authors

MAMajed AfanaRPRishi PanchalRSRebecca M. Simon

Discussion

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Member takes

Overview

May support pheochromocytoma screening in select takotsubo cases with shock; leaves open need for prospective outcome data.

Structured PICO

P
Population
66-year-old woman presenting with abdominal pain, cardiogenic shock, and severe heart failure with normal coronary arteries, diagnosed with pheochromocytoma-induced takotsubo cardiomyopathy
I
Intervention
Medical therapy and right adrenalectomy
O
Outcome
Resolution of heart failure and postoperative symptoms

Pheochromocytoma is a rare but important cause of takotsubo cardiomyopathy that can present with cardiogenic shock and is treatable with adrenalectomy.

Cite This Study

Afana et al. (2019) studied this question.

synapsesocial.com/papers/6a1ce3a7c10ed9515197a08ahttps://doi.org/10.14503/thij-17-6407
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