![]() ![]() ![]() This unfortunate case confirms the pheochromocytoma as important risk factor for the onset of Takotsubo syndrome, and the how dramatic and severe a catecholaminergic storm can be. The resulting catecholaminergic storm caused a myocardial ischemia with Takotsubo syndrome, with cardiogenic shock. The autopsy confirmed that the abdominal mass was a pheochromocytoma, broken after the trauma suffered. The clinical condition of the patient rapidly worsens from a respiratory and hemodynamic point of view, with cardiogenic shock, anuria and sepsis, refractory to all the medical treatments, until the patient died. A contrast chest-abdomen CT highlighted a right adrenal solid mass, with a diameter of 78mm, partial capsular laceration, compression of the inferior vena cava and the hepatic parenchyma. Blood tests show a very important increase of Troponin and transaminases. He presents back and retrosternal pain, with a clinical status of acute pulmonary edema, sinus tachycardia with left bundle branch block, left ventricular apical ballooning with depressed systolic function. We present the case of a 53-year-old man, without any medical history, who arrived to the hospital following a spinal trauma due a fall. It can cause a catecholaminergic storm and lead to acute coronary syndromes. Pheochromocytoma is a rare adrenal tumor characterized by the secretion of catecholamines and vasoactive peptides. Umberto Parravicini Division of Cardiology, SS Trinità Borgomanero Hospital, ASL NO, Novara., Italy.Nicolò Franchetti Pardo Division of Cardiology, SS Trinità Borgomanero Hospital, ASL NO, Novara., Italy.The company is headquartered in Neuhausen bei Tuttlingen, Germany. Alla lägenheter har luftkonditionering och platt-TV. It employs 21-50 people and has 1M-5M of revenue. B&B FANCHETTI 1938 i Sondrio erbjuder boende, trädgård, terrass och utsikt över trädgården. Giulia Careri Division of Cardiology, SS Trinità Borgomanero Hospital, Italy. Endodoctor GmbH is a company that operates in the Internet industry.Lara Baduena Division of Cardiology, SS Trinità Borgomanero Hospital, ASL NO, Novara., Italy.Eleonora Prenna Division of Cardiology, SS Trinità Borgomanero Hospital, ASL NO, Novara., Italy.Emanuela Facchini Division of Cardiology, SS Trinità Borgomanero Hospital, ASL NO, Novara., Italy.Stefano Valentini Division of Pathology, SS Trinità Borgomanero Hospital, ASL NO, Novara., Italy.Marisa Arrondini Division of Surgical Pathology, SS Trinità Borgomanero Hospital, Italy.Luca Bergamasco Division of Cardiology, SS Trinità Borgomanero Hospital, Italy.Paola Paffoni Division of Cardiology, SS Trinità Borgomanero Hospital, Italy.Rino previously lived at 5520 E Harding Way, Stockton CA 95215 for 16 years, starting in. Rino has lived at this San Francisco, CA address for about 20 years, after moving in around September of 2002. Currently Rino lives at the address 461 7th Ave, San Francisco CA 94118. ![]() Pierfranco Dellavesa Division of Cardiology, SS Trinità Borgomanero Hospital, Italy. Rino J Fanchetti JR is 81 years old and was born in December of 1941.Division of Cardiology, SS Trinità Borgomanero Hospital, Italy. ![]()
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