Pheochromocytoma presenting as acute myocarditis with cardiogenic shockin two cases
Journal
Internal Medicine
Journal Volume
47
Journal Issue
24
Pages
2151-2155
Date Issued
2008
Author(s)
Abstract
Pheochromocytoma is a rare, catecholamine-secreting tumor. The classic symptoms are headache, diaphoresis, and tachycardia with paroxysmal hypertension. Other less common cardio-vascular manifestations, such as arrhythmias, angina pectoris, acute myocardial infarction, dilated cardiomyopathy, acute heart failure, and cardiogenic shock, have occasionally been reported. Here, we report two middle-aged men with acute myocarditis and cardiogenic shock, who needed an intra-aortic balloon pump and extra-corporeal membrane oxygenation for life support. They were diagnosed with pheochromocytoma and underwent laparoscopic adrenectomy that restored cardiac function. These cases illustrate diagnostic and management considerations in pheochromocytoma complicated by acute myocarditis and cardiogenic shock. ? 2008 The Japanese Society of Internal Medicine.
SDGs
Other Subjects
C reactive protein; catecholamine; creatine kinase; creatine kinase MB; creatinine; hemoglobin; inotropic agent; nitrogen; phenoxybenzamine; troponin I; urea; adrenal tumor; adrenalectomy; adult; anamnesis; angiocardiography; aorta balloon; article; artificial ventilation; cardiogenic shock; case report; catecholamine urine level; chest tightness; clinical feature; cold limb; computer assisted tomography; disease course; disease severity; dyspnea; echocardiography; electrocardiogram; endotracheal intubation; extracorporeal oxygenation; headache; heart function; heart left ventricle contractility; heart left ventricle ejection fraction; hematocrit; hemoglobin blood level; histopathology; human; hypertension; hypokinesia; hypotension; hypoxemia; hypoxia; laparoscopic surgery; lung edema; male; myocarditis; pericardial effusion; pheochromocytoma; pleura effusion; protein blood level; R wave; respiratory distress; respiratory failure; sinus tachycardia; ST segment elevation; sweating; tachypnea; thorax radiography; tissue necrosis; treatment response; urea nitrogen blood level; Acute Disease; Adrenal Gland Neoplasms; Adult; Diagnosis, Differential; Humans; Male; Myocarditis; Pheochromocytoma; Shock, Cardiogenic
Type
journal article