Pheochromocytoma behind takotsubo(stress)-cardiomyopathy: The great pretender

Gravina, Matteo; Casavecchia, Grazia; D’Alonzo, Natascja; Totaro, Antonio; Manuppelli, Vincenzo; Cuculo, Andrea; Vinci, Roberta; Macarini, Luca; Brunetti, Natale Daniele

doi:10.1016/j.ajem.2016.12.010

Cited by 2 publications

(2 citation statements)

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“…Extracardiac mediastinal masses were also revealed with an accurate analysis of the relationship with the cardiac structures and of mediastinal adenopathy. A case of Takotsubo cardiomyopathy is noteworthy with an adrenal mass characterized by an intense enhancement at first pass; a pheochromocytoma was confirmed at following histological examination [ 15 , 16 ] ( Figure 5 ).…”

Section: Discussionmentioning

confidence: 99%

Incidental Extracardiac Findings and Their Characterization on Cardiac MRI

Gravina

Stoppino

Casavecchia

et al. 2017

BioMed Research International

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Background Cardiac magnetic resonance imaging (cMRI) has recently emerged as a new noninvasive imaging modality that offers superior structural and functional assessment of the heart. cMRI benefits from a large field of view but, consequently, may capture incidental extracardiac findings (IEFs). We aimed to evaluate the frequency and significance of IEFs reported from clinically indicated cMRI scans. Methods 742 consecutive patients (402 males and 340 females) referred to the Cardiac Magnetic Resonance Center of our University Hospital between January 2015 and December 2016 for clinically indicated cMRI were retrospectively enrolled for the evaluation of IEF prevalence and relevance. The median age of the subjects was 51 years (range: 5–85 years). Results A significant number of patients who underwent cMRI had incidental and clinically significant IEFs (2% of the population, 11.4% of cases). cMRI allowed a correct diagnosis in 116/131 cases with a diagnostic accuracy value of 88.5%. Conclusions IEFs on cMRI are not uncommon and lesions with mild or no clinical significance represent the most frequent findings. cMRI can characterize incidental findings with high accuracy in most cases.

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Section: Discussionmentioning

confidence: 99%

Incidental Extracardiac Findings and Their Characterization on Cardiac MRI

Gravina

Stoppino

Casavecchia

et al. 2017

BioMed Research International

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“…There is a recently-growing body of literature on a minority of pheochromocytoma patients who present in overt cardiogenic shock from a catecholamine-induced cardiomyopathy [[2], [3], [4], [5], [6], [7], [8], [9]]. On cardiac catheterization and echocardiography, apical ballooning is a common feature that leads many to diagnose takotsubo syndrome, also known as broken heart syndrome, a stress-induced cardiomyopathy.…”

Section: Introductionmentioning

confidence: 99%

Pheochromocytoma-related cardiomyopathy presenting as broken heart syndrome: Case report and literature review

Diaz

Elkbuli

Ehrhardt

et al. 2019

International Journal of Surgery Case Reports

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Highlights This is a case report of a rare adrenal tumor that manifested as acute coronary syndrome. Adrenalectomy for pheochromocytoma presents a risk for intraoperative hemodynamic instability. Preoperative medical care is essential to reduce intraoperative complications. This case exemplifies the importance of the various symptoms that are prevalent with excessive circulating adreno-receptor agents.

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Pheochromocytoma behind takotsubo(stress)-cardiomyopathy: The great pretender

Cited by 2 publications

References 11 publications

Incidental Extracardiac Findings and Their Characterization on Cardiac MRI

Incidental Extracardiac Findings and Their Characterization on Cardiac MRI

Pheochromocytoma-related cardiomyopathy presenting as broken heart syndrome: Case report and literature review

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