Car accident as a trigger for reverse takotsubo-like cardiomyopathy with paraganglioma: Case report and literature review.
Li Ya DaiNing ZhouKechun ZhouFangbiao ZhangFanghon ChenPublished in: Echocardiography (Mount Kisco, N.Y.) (2022)
Paraganglioma (PGL), which may cause acute Takotsubo-like cardiomyopathy (TLC), is a rare neuroendocrine neoplasm derived from various body sites. TLC has been associated with excessive catecholamine secretion and shares the same cardiac presentation with Takotsubo cardiomyopathy (TTC). We present the case of a 58-year-old male who arrived at the hospital after a car accident, reporting symptoms of chest tightness, shortness of breath, and abdominal pain after a car accident. The patient was found to have elevated troponin and severely depressed left ventricular function. Echocardiography depicted a normal contracting apex with the rest of the left ventricle being hypokinetic. Coronary computed tomography (CT) angiogram revealed mild coronary artery disease. Abdominal CT further revealed a mass on the left side of the epigastric aorta, confirmed by autopsy as a PGL.
Keyphrases
- computed tomography
- left ventricular
- coronary artery disease
- heart failure
- dual energy
- image quality
- abdominal pain
- positron emission tomography
- contrast enhanced
- pulmonary artery
- aortic stenosis
- mitral valve
- magnetic resonance imaging
- case report
- pulmonary hypertension
- single cell
- adverse drug
- coronary artery
- acute myocardial infarction
- cardiac resynchronization therapy
- liver failure
- hypertrophic cardiomyopathy
- aortic valve
- aortic dissection
- left atrial
- coronary artery bypass grafting
- atrial fibrillation
- cardiovascular events
- emergency department
- percutaneous coronary intervention
- drug induced
- intensive care unit
- sleep quality
- pulmonary arterial hypertension
- type diabetes
- low grade
- weight loss
- electronic health record
- acute coronary syndrome
- high grade