An autopsy case of left ventricular apical ballooning probably caused by pheochromocytoma with persistent ST-segment elevation.
We describe the autopsy case of an 86-year-old man who experienced left ventricular (LV) apical ballooning with pheochromocytoma. During the follow-up period, his electrocardiogram (ECG) showed persistent ST-segment elevation in leads V3 to V6, and an echocardiogram revealed persistent LV dysfunction in the apical region. He died 64 days after admission. Pathological findings suggested catecholamine-induced cardiomyopathy and pheochromocytoma. This is the report of a rare autopsy case of LV apical ballooning.
Ueda
Hiroyasu
H
Department of Cardiology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan. Electronic address: ueda-hiroyasu@sumitomo-hp.or.jp.
Hosokawa
Yoshiya
Y
Department of Cardiology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan.
Tsujii
Ui
U
Department of Cardiology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan.
Miyawaki
Masami
M
Department of Cardiology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan.
Mitsusada
Nobuhiro
N
Department of Cardiology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan.
Yasuga
Yuji
Y
Department of Cardiology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan.
Hiraoka
Hisatoyo
H
Department of Cardiology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan.
Nakatsuka
Shin-Ichi
SI
Department of Pathology, Sumitomo Hospital, 5-3-20, Nakanoshima, Kita-ku, Osaka 530-0005, Japan.
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D000369:Aged, 80 and over; D001344:Autopsy; D004562:Electrocardiography; D006801:Humans; D008297:Male; D010673:Pheochromocytoma / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D054549:Takotsubo Cardiomyopathy / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology