PMC7996044_01
Abdominal computed tomography scan showed a left-sided adrenal mass of 5.7 cm (arrow).
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On the abdominal computerized tomography (CT) scan, which was performed because of the tender abdomen, a left-sided adrenal mass of 5.7 cm was seen (Figure 1).
Left ventricular angiography during systole (RAO 24 /CRAN 8 ). Severe hypokinetic midventricular segments compatible with an inverted Takotsubo syndrome (see also Supplementary Material: S1 video).
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Ventriculography was suggestive for a basal (reverse or inverted) Takotsubo syndrome, with severe hypokinetic midventricular segments (Figure 2, Svideo).
Invasive blood pressure monitoring. Cyclic fluctuations of blood pressure and heart rate with systolic blood pressures ranging from 45 mmHg up to 290 mmHg despite administration of alpha-blocking agent Phenoxybenzamine. Stabilization after emergency adrenalectomy. ABPs: arterial blood pressure systolic; ABPd: arterial blood pressure diastolic; ABPm: arterial blood pressure mean; HF: heart frequency.
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Nevertheless, he remained profoundly unstable with extreme blood pressure fluctuations (systolic blood pressure ranging from 45 mmHg to 290 mmHg) (Figure 3).