좌심실 혈전을 동반한 스트레스 유발 심근병증으로 발현된 갈색세포종 1예
A Case of Pheochromocytoma Presenting as Stress-Induced Cardiomyopathy with Large Left Ventricular Thrombus
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The clinical presentation of pheochromocytoma is variable. The classic symptoms are headache, diaphoresis, and tachycardia,with paroxysmal hypertension. Other less common cardiovascular manifestations, such as arrhythmias, angina pectoris, acutemyocardial infarction, dilated cardiomyopathy, and acute heart failure, have been reported occasionally. We present the case of amiddle-aged woman who had stress-induced cardiomyopathy with a left ventricular thrombus, due to the pheochromocytoma. Thethrombus was embolized to the aorto-iliac bifurcation during hospitalization. We removed the thrombus by a catheterthromboembolectomy and performed a surgical left adrenalectomy. After the operation, all of her symptoms and the underlyingdiseases (hypertension, hyperglycemia, heart failure, dyslipidemia) resolved.
Abstract
The clinical presentation of pheochromocytoma is variable. The classic symptoms are headache, diaphoresis, and tachycardia,with paroxysmal hypertension. Other less common cardiovascular manifestations, such as arrhythmias, angina pectoris, acutemyocardial infarction, dilated cardiomyopathy, and acute heart failure, have been reported occasionally. We present the case of amiddle-aged woman who had stress-induced cardiomyopathy with a left ventricular thrombus, due to the pheochromocytoma. Thethrombus was embolized to the aorto-iliac bifurcation during hospitalization. We removed the thrombus by a catheterthromboembolectomy and performed a surgical left adrenalectomy. After the operation, all of her symptoms and the underlyingdiseases (hypertension, hyperglycemia, heart failure, dyslipidemia) resolved.
참고문헌 (10)
- Creager MA, "Clinical practice: acute limb ischemia", N Engl J Med, 366, pp.2198~2206 (2012)
- Thuny F, "Risk of embolism and death in infective endocarditis: prognostic value of echocardiography: a prospective multicenter study", Circulation, 112, pp.69~75 (2005)
- Magishi K, "Short- and long-term outcomes of acute upper extremity arterial thromboembolism", Ann Thorac Cardiovasc Surg, 16, pp.31~34 (2010)
- Licht PB, "Long-term outcome following thrombembolectomy in the upper extremity", Eur J Vasc Endovasc Surg, 28, pp.508~512 (2004)
- Earnshaw JJ, "National Audit of Thrombolysis for Acute Leg Ischemia (NATALI): clinical factors associated with early outcome", J Vasc Surg, 39, pp.1018~1025 (2004)
- Miyayama S, "Thrombolysis and thromboaspiration for acute thromboembolic occlusion in the upper extremity", Jpn J Radiol, 30, pp.180~184 (2012)
- 김성관, "Acute Upper Limb Ischemia due to Cardiac Origin Thromboembolism: the Usefulness of Percutaneous Aspiration Thromboembolectomy via a Transbrachial Approach", Korean Journal of Radiology, 12(5), pp.595~601 (2011), 대한영상의학회
- Di Salvo G, "Echocardiography predicts embolic events in infective endocarditis", J Am Coll Cardiol, 37, pp.1069~1076 (2001)
- Dickerman SA, "The relationship between the initiation of antimicrobial therapy and the incidence of stroke in infective endocarditis: an analysis from the ICE Prospective Cohort Study (ICE-PCS)", Am Heart J, 154, pp.1086~1094 (2007)
- Deprèle C, "Risk factors for systemic emboli in infective endocarditis", Clin Microbiol Infect, 10, pp.46~53 (2004)