Life-Threatening Complication During Percutaneous Ablation of Adrenal Gland Metastasis: Takotsubo Syndrome |
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Authors: | Georgia Tsoumakidou Xavier Buy Pierre Zickler Michel Zupan Marie-Pierre Douchet and Afshin Gangi |
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Institution: | (1) Department of Non Vascular Interventional Radiology, University Hospital of Strasbourg, 1 Place de l’H?pital, 67091 Strasbourg, France;(2) Department of Anaesthesiology, University Hospital of Strasbourg, 1 Place de l’H?pital, 67091 Strasbourg, France;(3) Department of Cardiology, University Hospital of Strasbourg, 1 Place de l’H?pital, 67091 Strasbourg, France |
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Abstract: | A rare life-threatening complication during percutaneous cryoablation of an adrenal gland metastasis from a lung carcinoma
is reported. The patient presented hypertensive crisis at the beginning of the thawing cycle, followed by electrocardiographic
change which necessitated interruption of the procedure and his transfer to the intensive care unit with suspicion of heart
infarct. There was a slight increase in cardiac enzyme levels, and ventricular angiography demonstrated transient hypokinesis-dyskinesis
of the mid left ventricular segments without apical involvement, while the coronary arteries showed no significant stenosis
on coronarography. These findings led to the diagnosis of Takotsubo cardiomyopathy left ventricular dysfunction syndrome.
This is the first case of Takotsubo cardiomyopathy occurring as a complication during percutaneous ablation of an adrenal
gland tumor. |
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Keywords: | |
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