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논문 기본 정보

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학술저널
저자정보
박상신 (Department of Internal Medicine, Chungbuk National University Hospital, Cheongju) 김민 (Regional Cardiovascular Disease Center, Chungbuk National University Hospital) Lee Dae In (Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea.) 이주희 (Regional Cardiovascular Disease Center, Chungbuk National University Hospital, Cheongju) 김상민 (Regional Cardiovascular Disease Center, Chungbuk National University Hospital, Cheongju) Lee Sang Yeub (Chungbuk Regional Cardiocerebrovascular Disease Center, Chungbuk National University and Hospital, Cheongju, Korea.) 배장환 (충북대학교) 황경국 (충북대학교) 김동운 (충북대학교) 조명찬 (충북대학교) 배대환 (충북대학교병원)
저널정보
대한중환자의학회 Acute and Critical Care Acute and Critical Care Vol.39 No.1
발행연도
2024.2
수록면
194 - 198 (5page)
DOI
10.4266/acc.2021.01158

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The main mechanism of Takotsubo cardiomyopathy (TCM) is catecholamine-induced acute myocardial stunning. Pheochromocytoma, a catecholamine-secreting tumor, can cause several cardiovascular complications, including hypertensive crisis, myocardial infarction, toxic myocarditis, and TCM. A 29-year-old woman presented to our hospital with general weakness, vomiting, dyspnea, and chest pain. The patient was nullipara, 28 weeks’ gestation, and had a cachexic morphology. Her cardiac enzyme levels were elevated and bedside echocardiography showed apical akinesia, suggesting TCM. The next day, she could not feel the fetal movement, and an emergency cesarean section was performed. After delivery, the patient experienced cardiac arrest and was transferred to the intensive care unit for cardiopulmonary resuscitation (CPR). Spontaneous circulation returned after 28 minutes of CPR, but cardiogenic shock continued, and extracorporeal membrane oxygenation (ECMO) was initiated. On the third day of ECMO maintenance, left ventricular ejection fraction improved and blood pressure stabilized. On the eighth day after ECMO insertion, it was removed. However, complications of the left leg vessels occurred, and several surgeries and interventions were performed. A left adrenal gland mass was found on computed tomography and was removed while repairing the leg vessels. Pheochromocytoma was diagnosed and left adrenalectomy was performed.

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