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 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.
Roubille
F
F
Cardiology Department, CHU Arnaud-de-Villeneuve, 371 avenue du Doyen-Gaston-Giraud, Montpellier, France.
Tournant
G
G
Sportouch-Dukhan
C
C
Davy
J-M
JM
Piot
C
C
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis*; D000328:Adult; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis*; D012008:Recurrence; D012307:Risk Factors; D012770:Shock, Cardiogenic / Q000209:etiology; D014057:Tomography, X-Ray Computed; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology*