Recurrent severe acute apical-sparing left ventricular dysfunction in a young woman: Don’t forget pheochromocytoma

A 35-year-old woman was admitted for second cardiogenic shock. She had no cardiovascular risk factors. Recurrent acute myocarditis was suggested. Recurrent acute myocardial dysfunctions in a young patient suggested pheochromocytoma. Initial trans-thoracic echocardiography showed a typical severe bas...

Full description

Saved in:
Bibliographic Details
Published in:Annales de cardiologie et d'angéiologie 2010-02, Vol.59 (1), p.52-53
Main Authors: Roubille, F., Tournant, G., Sportouch-Dukhan, C., Davy, J.-M., Piot, C.
Format: Article
Language:English
Subjects:
Acute heart failure
Adrenals. Adrenal axis. Renin-angiotensin system (diseases)
Biological and medical sciences
Blood and lymphatic vessels
Cardiogenic shock
Cardiology. Vascular system
Choc cardiogénique
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Dysfonction ventriculaire gauche
Endocrinopathies
Heart
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Insuffisance cardiaque aiguë
Left ventricular dysfunction
Medical sciences
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Pheochromocytoma
Phéochromocytome
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 35-year-old woman was admitted for second cardiogenic shock. She had no cardiovascular risk factors. Recurrent acute myocarditis was suggested. Recurrent acute myocardial dysfunctions in a young patient suggested pheochromocytoma. Initial trans-thoracic echocardiography showed a typical severe basal and mid-ventricular left ventricular dysfunction but preserved apical contractility. Total CT-scan evidenced a right suprarenal mass advocating for a pheochromocytoma. Biology confirmed the diagnosis of pheochromocytoma. These images illustrate the rare but acute and typical clinical outcomes, and echocardiography findings. Une femme de 35 ans était admise pour choc cardiogénique, deuxième épisode. Elle n’avait pas de facteurs de risque cardiovasculaire particulier. Une myocardite récidivante était suggérée. Les dysfonctions récidivantes chez un sujet jeune doivent faire évoquer un phéochromocytome. L’échocardiographie initiale montrait une dysfonction ventriculaire gauche sévère mais respectant l’apex. Un scanner corps entier a mis en évidence une masse suprarénale évoquant un phéochromocytome. La biologie confirma le diagnostic. Ces images illustrent une cause rare mais typique tant sur le plan clinique qu’échocardiographique.
ISSN:0003-3928
DOI:10.1016/j.ancard.2009.04.004