Reyes Hans A, Paquin Jason J, Harris David M
Division of Cardiovascular Health and Disease, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Division of Cardiology, Mercy Heart Institute, Cincinnati, OH, USA.
Case Rep Cardiol. 2018 Apr 29;2018:8767801. doi: 10.1155/2018/8767801. eCollection 2018.
A 22-year-old man presented to the hospital with progressive shortness of breath, chest discomfort, sinus tachycardia, and emesis. The echocardiogram demonstrated global hypokinesis with a left ventricle ejection fraction of 15-20%. The patient was treated for acute systolic heart failure decompensation with diuresis and afterload reduction. Unexpectedly, an abdominal computed tomography showed a left adrenal mass and subsequent serum/urine metanephrine tests suggested pheochromocytoma. Once the patient had stabilized, he underwent an uneventful adrenalectomy with histology results confirming the diagnosis of pheochromocytoma. After six months follow-up, he is currently doing well with close outpatient follow-up by cardiology.
一名22岁男性因进行性气短、胸部不适、窦性心动过速和呕吐入院。超声心动图显示全心运动减弱，左心室射血分数为15%-20%。患者接受了利尿和减轻后负荷治疗急性收缩性心力衰竭失代偿。意外的是，腹部计算机断层扫描显示左肾上腺肿块，随后的血清/尿间甲肾上腺素检测提示嗜铬细胞瘤。患者病情稳定后，顺利接受了肾上腺切除术，组织学结果证实为嗜铬细胞瘤。经过六个月的随访，他目前情况良好，由心脏病学门诊密切随访。
