Pheochromocytoma presenting as acute heart failure leading to cardiogenic shock and multiorgan failure

Jochen Steppan, Julia Shields, Ralph Lebron

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Article number596354
JournalCase Reports in Medicine
Volume2011
DOIs
StatePublished - 2011

ASJC Scopus subject areas

  • Medicine(all)

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