Pheochromocytoma-induced acute pulmonary edema and reversible catecholamine cardiomyopathy mimicking acute myocardial infarction.
Acute noncardiogenic pulmonary edema and catecholamine-induced cardiomyopathy as the first presentations of pheochromocytoma are uncommon events, but usually rapidly fatal. A 36-year-old man presented acute pulmonary edema in a setting of hypertensive emergency after arthroscopy, later developing catecholamine-induced cardiotoxicity mimicking an acute myocardial infarction, with elevation of cardiac damage markers, normal coronary arteries, and with full recovery from electrical abnormalities. Magnetic resonance imaging revealed a right adrenal mass. Elevated levels of catecholamines and metanephrines, and a positive 131I-metaiodobenzylguanidine scan confirmed a pheochromocytoma. Once the patient had been hemodynamically stabilized, he was successfully operated.
Pineda Pompa
Luis Ramón
LR
División Cardiovascular, Servicios de Cardiología Intervencionista, Terapia Intensiva y Radiología, Centro Hospitalario la Concepción, Saltillo, México.
Barrera-Ramírez
Carlos Felipe
CF
Martínez-Valdez
Jesús
J
Rodríguez
Pedro Domínguez
PD
Guzmán
Carlos E
CE
D000208:Acute Disease; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000378:metabolism; D000328:Adult; D002395:Catecholamines / Q000378:metabolism; D003937:Diagnosis, Differential; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology; D010673:Pheochromocytoma / Q000150:complications* / Q000378:metabolism; D011654:Pulmonary Edema / Q000209:etiology*
D002395:Catecholamines