The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Pheochromocytoma Presenting as Stress-Induced Cardiomyopathy with Large Left Ventricular Thrombus

좌심실 혈전을 동반한 스트레스 유발 심근병증으로 발현된 갈색세포종 1예

  • Jang, Duck Hyun (Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Park, Jinsik (Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Kang, Myung Shin (Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Kim, Tae Hoon (Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Shin, Dong Hee (Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Lee, Ji Hye (Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital) ;
  • Chae, Myung Joon (Department of Internal Medicine and Sejong Medical Research Institute, Sejong General Hospital)
  • 장덕현 (세종병원 내과 및 세종의학연구소) ;
  • 박진식 (세종병원 내과 및 세종의학연구소) ;
  • 강명신 (세종병원 내과 및 세종의학연구소) ;
  • 김태훈 (세종병원 내과 및 세종의학연구소) ;
  • 신동희 (세종병원 내과 및 세종의학연구소) ;
  • 이지혜 (세종병원 내과 및 세종의학연구소) ;
  • 채명준 (세종병원 내과 및 세종의학연구소)
  • Received : 2013.07.09
  • Accepted : 2013.08.26
  • Published : 2014.07.01
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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.

젊은 나이의 환자에서 다양한 임상증상 및 대사 질환을 가지고 있을 경우 갈색세포종을 고려해야 하며, 원인을 알 수 없는 심근병증의 감별진단의 하나로 갈색세포종을 생각할 수 있다.

Keywords

References

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