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Korean J Med > Volume 87(1); 2014 > Article
The Korean Journal of Medicine 2014;87(1): 77-80.
좌심실 혈전을 동반한 스트레스 유발 심근병증으로 발현된 갈색세포종 1예
장덕현, 박진식, 강명신, 김태훈, 신동희, 이지혜, 채명준
세종병원 내과 및 세종의학연구소
A Case of Pheochromocytoma Presenting as Stress-Induced Cardiomyopathy with Large Left Ventricular Thrombus
Duck Hyun Jang, Jinsik Park, Myung Shin Kang, Tae Hoon Kim, Dong Hee Shin, Ji Hye Lee, Myung Joon Chae
Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital, Bucheon, Korea
Corresponding Author: Jinsik Park ,Tel: +82-32-340-1808, Fax: +82-32-340-1236, Email: pjsheart@naver.com
Received: July 9, 2013;   Revised: August 7, 2013;   Accepted: August 26, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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, acute myocardial infarction, dilated cardiomyopathy, and acute heart failure, have been reported occasionally. We present the case of a middle-aged woman who had stress-induced cardiomyopathy with a left ventricular thrombus, due to the pheochromocytoma. The thrombus was embolized to the aorto-iliac bifurcation during hospitalization. We removed the thrombus by a catheter thromboembolectomy and performed a surgical left adrenalectomy. After the operation, all of her symptoms and the underlying diseases (hypertension, hyperglycemia, heart failure, dyslipidemia) resolved.
Keywords: Pheochromocytoma; Thrombosis; Embolization
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