title: Mechanical bridge to recovery in pheochromocytoma myocarditis.
abstract: BACKGROUND
  A 27-year-old male presented with exercise-related symptoms of chest tightness, palpitations, breathlessness and severe headache, with occasional nausea, dizziness, and blurred vision. Apart from a family history of coronary artery disease there was no other medical history of note.
  
  
  METHODS
  Clinical examination, treadmill exercise test (Bruce protocol), electrocardiography, MRI of the abdomen, blood tests, chest radiography, coronary angiography, two-dimensional echocardiography, transesophageal echocardiography, microscopy of the tumor, (131)iodine metaiodobenzylguanidine scan.
  
  
  METHODS
  Pheochromocytoma myocarditis.
  
  
  RESULTS
  Intra-aortic balloon pump, levosimendan and dobutamine infusion, alpha-blockade with phentolamine, surgical removal of the pheochromocytoma, Levitronix (Levitronix LLC, Waltham, MA) left ventricular assist device implantation.
authors: Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK. stephen.westaby@ orh.nhs.uk
authors: Stephen
authors: S
authors: Westaby
authors: Ashwin
authors: A
authors: Shahir
authors: Gregory
authors: G
authors: Sadler
authors: Fidelma
authors: F
authors: Flynn
authors: Oliver
authors: O
authors: Ormerod
mesh_terms: D019797:3-Iodobenzylguanidine; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D002315:Cardiopulmonary Bypass; D002316:Cardiotonic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006334:Heart Function Tests; D006353:Heart-Assist Devices; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D009205:Myocarditis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D002316:Cardiotonic Agents; D019275:Radiopharmaceuticals; D019797:3-Iodobenzylguanidine