Paraganglioma funcionante asociado al síndrome de Takotsubo

We present a case of a 37 year-old women who fulfilled the diagnostic criteria of stressed induced myocardiopathy associated with the presence of a paraganglioma which triggered an adrenergic syndrome. The clinical picture was similar to an acute myocardial infarction, with precordial pain, followed by inverted T waves and a slight increase in cardiac enzymes, with apical systolic function of the left ventricle and hyperkinesis of the baseal segments (with the appearance of «apical ballooning»), but without coronary obstruction. The ventricular function improved after excision of the tumour situated in the topographic region of the tail of the pancreas, in contact with the adrenal gland and the upper part of the homolateral kidney.