Cor Vasa 2022, 64(4):478-481 | DOI: 10.33678/cor.2021.134
(Pheochromocytoma as a rare cause of fatal heart failure)
- a Krajská nemocnice Liberec, a.s., Liberec
- b Fakulta zdravotních studií, Technická univerzita v Liberci, Liberec
Pheochromocytoma is a tumor that arises from chromaffin cells of the adrenal medulla. Together with sympathetic paragangliomas, these are relatively rare catecholamine-secreting tumors. They are one of the less common causes of secondary hypertension. The clinical presentation of pheochromocytoma is very variable. The classic triad of symptoms in patients with a pheochromocytoma consists of paroxysmal episodic headache, sweating, and palpitations. In our case report, we present a patient in whom pheochromocytoma manifested primarily as a fatal heart failure.
Keywords: Acute heart failure, Cardiogenic shock, Pheochromocytoma, Stressed cardiomyopathy
Received: November 3, 2021; Revised: November 5, 2021; Accepted: November 23, 2021; Published: September 1, 2022 Show citation
References
- Lenders JWM, Kerstens MN, Amar L, et al. Genetics, diagnosis, management and future directions of research of phaeochromocytoma and paraganglioma: a position statement and consensus of the Working Group on Endocrine Hypertension of the European Society of Hypertension. J Hypertens 2020;38:1443-1456.
Go to original source...
Go to PubMed...
- Pacak K, Linehan WM, Eisenhofer G, et al. Recent advances in genetics, diagnosis, localization, and treatment of pheochromocytoma. Ann Intern Med 2001;134:315-329.
Go to original source...
Go to PubMed...
- Beard CM, Sheps SG, Kurland LT, et al. Occurrence of pheochromocytoma in Rochester, Minnesota, 1950 through 1979. Mayo Clin Proc 1983;58:802-804.
- Hekimian G, Kharcha F, Bréchot N, et al. Extracorporeal membrane oxygenation for pheochromocytoma-induced cardiogenic shock. Ann Intensive Care 2016;6:117.
Go to original source...
Go to PubMed...
- Sutton MG, Sheps SG, Lie JT. Prevalence of clinically unsuspected pheochromocytoma. Review of a 50-year autopsy series. Mayo Clin Proc 1981;56:354-360.
- Amar L, Eisenhofer G. Diagnosing phaeochromocytoma/paraganglioma in a patient presenting with critical illness: biochemistry versus imaging. Clin Endocrinol (Oxf) 2015;83:298-302.
Go to original source...
Go to PubMed...
- Jacques AE, Sahdev A, Sandrasagara M, et al. Adrenal phaeochromocytoma: Correlation of MRI appearances with histology and function. Eur Radiol 2008;18:2885-2892.
Go to original source...
Go to PubMed...
- Motta-Ramirez GA, Remer EM, Herts BR, et al. Comparison of CT findings in symptomatic and incidentally discovered pheochromocytomas. Am J Roentgenol 2005;185:684-688.
Go to original source...
Go to PubMed...
- Čtvrtlík F, Heřman M, Študent V, et al. Differential diagnosis of incidentally detected adrenal masses revealed on routine abdominal CT. Eur J Radiol 2009;69:243-252.
Go to original source...
Go to PubMed...
- Gianni M, Dentali F, Grandi AM, et al. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 2006;27:1523-1529.
Go to original source...
Go to PubMed...
- Nef HM, Möllmann H, Kostin S, et al. Tako-Tsubo cardiomyopathy: intraindividual structural analysis in the acute phase and after functional recovery. Eur Heart J 2007;28:2456-2464.
Go to original source...
Go to PubMed...
- Y-Hassan S. Clinical Features and Outcome of Pheochromocytoma-Induced Takotsubo Syndrome: Analysis of 80 Published Cases. Am J Cardiol 2016;117:1836-1844.
Go to original source...
Go to PubMed...
- Santos JRU, Brofferio A, Viana B, Pacak K. Catecholamine- -Induced Cardiomyopathy in Pheochromocytoma: How to Manage a Rare Complication in a Rare Disease? Horm Metab Res 2019;51:458-469.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.