• A & A case reports · Nov 2016

    Extracorporeal Membrane Oxygenation for Treatment of Acute Inverted Takotsubo-Like Cardiomyopathy From Hemorrhagic Pheochromocytoma in Late Pregnancy.

    • Cornelis Johannes van Zwet, Andreas Rist, Achim Haeussler, Kirk Graves, Andreas Zollinger, and Stephan Blumenthal.
    • From the *Institute for Anesthesiology & Intensive Care Medicine, Triemli Hospital, Zürich, Switzerland; and †Clinic for Cardiac Surgery, Triemli Hospital, Zürich, Switzerland.
    • A A Case Rep. 2016 Nov 1; 7 (9): 196-199.

    AbstractWe 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.

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