title: Adrenergic myocarditis in pheochromocytoma.
abstract: The clinical presentation of pheochromocytoma is variable and many biochemical and imaging methods have been suggested to improve the diagnostic accuracy of what has been termed "the great masquerader". This case-report is of a middle-aged woman with a non-specific clinical presentation suggesting acute coronary syndrome or subacute myocarditis. Cardiovascular magnetic resonance (CMR) at presentation showed myocardial edema and intramyocardial late gadolinium enhancement (LGE). An adrenal mass was seen, which was confirmed as pheochromocytoma and surgically removed. Our case shows evidence for acute adrenergic myocarditis, with resolution of both the edema and the LGE after surgical excision.
authors.affiliation: Non-invasive Cardiac Imaging Laboratory, CMR Unit, Department of Cardiology and Cardiovascular Surgery, Niguarda Ca'Granda Hospital, Milan, Italy. alberto.roghi@gmail.com
authors.forename: Alberto
authors.initials: A
authors.lastname: Roghi
authors.forename: Patrizia
authors.initials: P
authors.lastname: Pedrotti
authors.forename: Angela
authors.initials: A
authors.lastname: Milazzo
authors.forename: Edgardo
authors.initials: E
authors.lastname: Bonacina
authors.forename: Chiara
authors.initials: C
authors.lastname: Bucciarelli-Ducci
mesh_terms: D000208:Acute Disease; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000601:surgery / Q000652:urine; D000315:Adrenalectomy; D002395:Catecholamines / Q000652:urine*; D003287:Contrast Media; D004489:Edema, Cardiac / Q000209:etiology; D005260:Female; D005682:Gadolinium; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009205:Myocarditis / Q000209:etiology* / Q000652:urine; D010673:Pheochromocytoma / Q000150:complications* / Q000601:surgery / Q000652:urine; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000652:urine
chemical_list: D002395:Catecholamines; D003287:Contrast Media; D005682:Gadolinium