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Case Report
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Korean J Med. 2014;87(1):77-80. Published online July 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.1.77
- 좌심실 혈전을 동반한 스트레스 유발 심근병증으로 발현된
갈색세포종 1예
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장덕현, 박진식, 강명신, 김태훈, 신동희, 이지혜, 채명준
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세종병원 내과 및 세종의학연구소
- A Case of Pheochromocytoma Presenting as Stress-Induced Cardiomyopathy with
Large Left Ventricular Thrombus
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Duck Hyun Jang, Jinsik Park, Myung Shin Kang, Tae Hoon Kim, Dong Hee Shin, Ji Hye Lee, Myung Joon Chae
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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.
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- 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
