| Title |
Pheochromocytoma with severe cardiac complications / |
| Another Title |
Feochromocitoma: širdies ir kraujagyslių sistemos komplikacijos. |
| Authors |
Jarašūnas, Jonas ; Razbadauskas, Artūras ; Klimas, Nerijus ; Jarašūnienė, Dalia ; Jarašūnas, Juozas ; Noreikytė, Miglė |
| DOI |
10.15388/LietChirur.2013.4.2838 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2013, t. 12, Nr. 4, p. 243-248.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
pheochromocytoma ; hypertension ; acute myocardial infarction ; catecholamine-induced cardiomyopathy |
| Abstract [eng] |
Introduction. Pheochromocytoma is a rare and usually benign catecholamine-secreting tumor with a broad variety of signs and symptoms, the most common being palpitations, headaches, and sweating. Rarely, pheochromocytoma can cause severe cardiac complications such as myocardial infarction, pulmonary edema or cardiogenic shock. Case report. We report a case of a 42-year-old male who presented with acute chest pain, dyspnea, and general weakness. He had a history of episodical high blood pressure and panic attacks, which were unsuccessfully treated with antidepressants. The patient developed a severe left ventricular function impairment with pulmonary edema and cardiogenic shock. Coronary angiography showed a spasm of the right coronary artery. We suspected pheochromocytoma and performed computed tomography of the abdomen, which showed a large tumor in the right adrenal gland. It was confirmed to be a pheochromocytoma. The patient was treated with α-blockers, and a successful laparoscopic surgical removal of the pheochromocytoma was carried out eighteen days later. The patient recovered well, and symptoms of pheochromocytoma disappeared. Conclusion. Pheochromocytoma can cause severe cardiac complications in different mechanisms, such as coronary spasm and direct catecholamine toxic effect on cardiomyocites. Diagnosing and treating pheochromocytoma with cardiac complications remains a challenge for a physician. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2013 |
