Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 15, Number 4-5, May 2024, pages 72-77


Recurrent Takotsubo Cardiomyopathy due to Pheochromocytoma Managed With Venoarterial Extracorporeal Membrane Oxygenation

Figures

Figure 1.
Figure 1. (a) Coronary angiography of the left coronary system in right anterior oblique caudal view, showing no signs of significant coronary artery disease. (b) Left ventriculography in right anterior oblique 30°, showing a severely impaired left ventricle function with balloon-like left ventricle formation, due to severe hypokinesia of basal to mid left ventricle wall segments and mild hypokinesia of apical left ventricle wall segments.
Figure 2.
Figure 2. (a) Echocardiography view of severely impaired left ventricle systolic function, RV size within normal limits and no pericardial effusion (day 0). (b) Follow-up echocardiography showing an improved left ventricle systolic function and no pericardial effusion (day 5).
Figure 3.
Figure 3. (a) A computed tomography scan cut showing a rather large (> 4 cm) lesion (red arrow) of the left adrenal gland with areas of cystic degeneration and heterogeneous contrast uptake. (b) A magnetic resonance imaging scan cut showing an enlarged left adrenal gland (30 × 37 × 37 mm) (red arrow) with contrast uptake during the early systemic arterial phase which remains during all imaging phases - no early washout is seen.