Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan Failure
Pheochromocytoma is an endocrine tumor classically presenting with headache, paroxysmal hypertension, and palpitations. We discuss the case of a young male, presenting with acute heart failure and cardiogenic shock requiring stabilization with an intra-aortic balloon pump and a combination of ionotr...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/596354 |
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| _version_ | 1832545799432568832 |
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| author | Jochen Steppan Julia Shields Ralph Lebron |
| author_facet | Jochen Steppan Julia Shields Ralph Lebron |
| author_sort | Jochen Steppan |
| collection | DOAJ |
| description | Pheochromocytoma is an endocrine tumor classically presenting with headache, paroxysmal hypertension, and palpitations. We discuss the case of a young male, presenting with acute heart failure and cardiogenic shock requiring stabilization with an intra-aortic balloon pump and a combination of ionotropes and vasopressors. Pheochromocytoma was diagnosed by CT scan, as well as urine and plasma metanephrines. After pretreatment with phenoxy-benzamine, the patient underwent adrenalectomy with subsequent cardiovascular stabilization and full recovery.
Unfortunately, pheochromocytoma often remains undiagnosed. Given the ample diagnostic tools and good prognosis when treated suitably, the diagnosis should be entertained early in patients, presenting with unexplained cardiovascular compromise. |
| format | Article |
| id | doaj-art-8f289ac811bd4738bfaeef649573746a |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8f289ac811bd4738bfaeef649573746a2025-02-03T07:24:45ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/596354596354Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan FailureJochen Steppan0Julia Shields1Ralph Lebron2Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Medical Institutions, 600 North Wolfe Street, Baltimore, MD 21287, USAThe Baltimore VA Medical Center, University of Maryland Medical Center, Baltimore, MD 21201, USAThe Baltimore VA Medical Center, University of Maryland Medical Center, Baltimore, MD 21201, USAPheochromocytoma is an endocrine tumor classically presenting with headache, paroxysmal hypertension, and palpitations. We discuss the case of a young male, presenting with acute heart failure and cardiogenic shock requiring stabilization with an intra-aortic balloon pump and a combination of ionotropes and vasopressors. Pheochromocytoma was diagnosed by CT scan, as well as urine and plasma metanephrines. After pretreatment with phenoxy-benzamine, the patient underwent adrenalectomy with subsequent cardiovascular stabilization and full recovery. Unfortunately, pheochromocytoma often remains undiagnosed. Given the ample diagnostic tools and good prognosis when treated suitably, the diagnosis should be entertained early in patients, presenting with unexplained cardiovascular compromise.http://dx.doi.org/10.1155/2011/596354 |
| spellingShingle | Jochen Steppan Julia Shields Ralph Lebron Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan Failure Case Reports in Medicine |
| title | Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan Failure |
| title_full | Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan Failure |
| title_fullStr | Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan Failure |
| title_full_unstemmed | Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan Failure |
| title_short | Pheochromocytoma Presenting as Acute Heart Failure Leading to Cardiogenic Shock and Multiorgan Failure |
| title_sort | pheochromocytoma presenting as acute heart failure leading to cardiogenic shock and multiorgan failure |
| url | http://dx.doi.org/10.1155/2011/596354 |
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