Abstract
We describe the first case of a pregnant woman presenting with an acute inverted takotsubo-like cardiomyopathy caused by a postpartum diagnosed hemorrhagic pheochromocytoma, successfully treated with percutaneous venoarterial extracorporeal membrane oxygenation (va-ECMO). During admission, an emergency cesarean delivery had to be performed. The fetus needed resuscitation for 5 minutes. The mother was successfully resuscitated and treated with percutaneous va-ECMO for 7 days. Despite advances in diagnostic techniques during the past decade, in many cases, pheochromocytoma in pregnancy is still missed. This results in a maternal and fetal mortality rate of up to 30% in both.
MeSH terms
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Acute Disease
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Adrenal Gland Neoplasms / complications
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Adrenal Gland Neoplasms / diagnostic imaging
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Adrenal Gland Neoplasms / therapy*
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Adult
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Extracorporeal Membrane Oxygenation / methods*
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Female
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Hemorrhage / complications
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Hemorrhage / diagnostic imaging
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Hemorrhage / therapy*
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Humans
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Infant, Newborn
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Pheochromocytoma / complications
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Pheochromocytoma / diagnostic imaging
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Pheochromocytoma / therapy*
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Pregnancy
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Pregnancy Complications, Cardiovascular / diagnostic imaging
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Pregnancy Complications, Cardiovascular / etiology
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Pregnancy Complications, Cardiovascular / therapy*
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Pregnancy Complications, Neoplastic / diagnostic imaging
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Pregnancy Complications, Neoplastic / therapy*
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Takotsubo Cardiomyopathy / etiology
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Takotsubo Cardiomyopathy / therapy*
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Treatment Outcome