Mechanical Bridge to Recovery in Pheochromocytoma Myocarditis

Overview

Journal Nat Rev Cardiol

Specialty Cardiology & Vascular Diseases

Date 2009 Jun 26

PMID 19554007

Citations 9

Authors

Stephen Westaby

Ashwin Shahir

Gregory Sadler

Fidelma Flynn

Oliver Ormerod

Affiliations

Soon will be listed here.

Abstract

Background: A 27-year-old male presented with exercise-related symptoms of chest tightness, palpitations, breathlessness and severe headache, with occasional nausea, dizziness, and blurred vision. Apart from a family history of coronary artery disease there was no other medical history of note.

Investigations: Clinical examination, treadmill exercise test (Bruce protocol), electrocardiography, MRI of the abdomen, blood tests, chest radiography, coronary angiography, two-dimensional echocardiography, transesophageal echocardiography, microscopy of the tumor, (131)iodine metaiodobenzylguanidine scan.

Diagnosis: Pheochromocytoma myocarditis.

Management: Intra-aortic balloon pump, levosimendan and dobutamine infusion, alpha-blockade with phentolamine, surgical removal of the pheochromocytoma, Levitronix (Levitronix LLC, Waltham, MA) left ventricular assist device implantation.

Citing Articles

An Undetected Pheochromocytoma Leading to Fulminant Adrenergic Myocarditis Complicated by Cardiogenic Shock.

Tran N, Tran H, Tran T, Nguyen T JCEM Case Rep. 2023; 1(6):luad142.

PMID: 38045867 PMC: 10690852. DOI: 10.1210/jcemcr/luad142.

Pheochromocytoma/paraganglioma-associated cardiomyopathy.

Szatko A, Glinicki P, Gietka-Czernel M Front Endocrinol (Lausanne). 2023; 14:1204851.

PMID: 37522121 PMC: 10374018. DOI: 10.3389/fendo.2023.1204851.

Pheochromocytoma with abdominal aortic aneurysm presenting as recurrent dyspnea, hemoptysis, and hypotension: A case report.

Zhao H, Zhao Y, Jia Y, Mei X, Guo S World J Clin Cases. 2021; 9(18):4754-4759.

PMID: 34222443 PMC: 8223855. DOI: 10.12998/wjcc.v9.i18.4754.

Perioperative Management of Pheochromocytoma Resection in a Patient with a Continuous Flow left Ventricular Assist Device.

Albulushi A, Zolty R, Lowes B, Duhacheck-Stapleman A, Sandler T, Sullivan J J Saudi Heart Assoc. 2020; 32(2):233-235.

PMID: 33154922 PMC: 7640556. DOI: 10.37616/2212-5043.1026.

Paraganglioma presenting as stress cardiomyopathy: case report and literature review.

Goncalves Ferreira A, Nunes da Silva T, Alegria S, Cordeiro M, Portugal J Endocrinol Diabetes Metab Case Rep. 2019; 2019.

PMID: 30991354 PMC: 6477651. DOI: 10.1530/EDM-19-0017.

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