Cardiology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Pathology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Rep. 2020 May 19;13(5):e234978. doi: 10.1136/bcr-2020-234978.
A 27-year-old woman presented with breathlessness on exertion of 3 months duration and was treated as dilated cardiomyopathy elsewhere. On evaluation, she was found to have left ventricular hypertrophy with ventricular dysfunction. CT angiogram revealed a peripheral-enhancing mass with central necrosis in the aortocaval region. Elevated serum metanephrine and uptake in iodine metaiodobenzylguanidine scan lead to the diagnosis of paraganglioma. Patient underwent open surgical excision of the tumour. Left ventricular function became normal and left ventricular hypertrophy resolved after surgery.
一位 27 岁女性因呼吸困难就诊,症状持续了 3 个月,曾在其他地方被诊断为扩张型心肌病。评估发现患者存在左心室肥厚和心室功能障碍。CT 血管造影显示升主动脉旁有一个周边增强的肿块,伴有中央坏死。血清甲氧基肾上腺素水平升高,碘代间位碘苄胍扫描摄取增加,提示嗜铬细胞瘤的诊断。患者接受了肿瘤的开放性手术切除。手术后左心室功能恢复正常,左心室肥厚也得到了缓解。