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. 2019 Oct 30;3(4):1–6. doi: 10.1093/ehjcr/ytz195
Time Event
0 day Extirpation of a benign thyroglossal duct cyst
0 day 10 h Cardiogenic shock with severely impaired systolic left ventricular function
0 day 14 h Coronary angiography: no evidence of relevant coronary artery disease
0 day 22 h Admission to Heart Center Dresden (PaO2/FiO2 30 mmHg, 2.5 µg/kg/min norepinephrine
Transthoracic echocardiography: suspected for a reverse takotsubo cardiomyopathy because of akinesia of all basal and middle segments of the left ventricle with preserved kinetics of the apex (left ventricular ejection fraction, LVEF 15%)
0 day 24 h Implantation of Impella CP®
1 day 3 h Implantation of veno-arterial extracorporeal membrane oxygenation (va-ECMO) due to deterioration of right ventricular function and persistent severe respiratory insufficiency
1 day 20 h Computed tomography scan detects a lesion of the adrenal gland suspicious of a pheochromocytoma
6 days 10 h End of intravenous norepinephrine administration
7 days 0 h Explanation of Impella CP® and va-ECMO due to improved biventricular function (LVEF 40%, TAPSE 19 mm) and respiratory situation (PaO2/FiO2 150 mmHg)
8 days Pheochromocytoma was confirmed by significantly increased plasma concentrations of metanephrine/normetanephrine
9 days Initiation of non-specific α adrenergic receptor inhibition with phenoxybenzamine
28 days Metaiodobenzylguanidine scintigraphy: no evidence for metastases of the pheochromocytoma or coincident paragangliomas
33 days Laparoscopic excision of the pheochromocytoma
49 days Discharge to rehabilitation with normalized biventricular function (LVEF 55%, TAPSE 25 mm)