title: Primary cardiac pheochromocytoma with multiple endocrine neoplasia.
abstract: OBJECTIVE
  Cardiac pheochromocytoma with multiple endocrine neoplasia syndrome (MENS) is rare. We present a rare case of concurrent cardiac pheochromocytoma and pituitary adenoma, a rare variant of the MEN syndromes and a review of the literature with special emphasis on diagnosis and treatment.
  
  
  METHODS
  Different from the single MENS type I or type II, Variant MENS' symptoms and signs are so nontypical that it is easy to make a misdiagnosis or missed diagnosis. One patient with variant MENS was treated surgically and relevant case data were collected.
  
  
  RESULTS
  The perioperative course was uneventful. At 24-month follow-up, catecholamine levels returned to normal and no symptoms of pheochromocytoma was found.
  
  
  CONCLUSIONS
  Cardiac pheochromocytoma with Multiple Endocrine Neoplasia can be treated by operation with good prognosis. Surgical removal to provide relief or effective control of symptoms is the treatment of choice.
authors.affiliation: Department of Cardiac surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China.
authors.forename: Chaoji
authors.initials: C
authors.lastname: Zhang
authors.forename: Guotao
authors.initials: G
authors.lastname: Ma
authors.forename: Xingrong
authors.initials: X
authors.lastname: Liu
authors.forename: Heng
authors.initials: H
authors.lastname: Zhang
authors.forename: Haibo
authors.initials: H
authors.lastname: Deng
authors.forename: Justin
authors.initials: J
authors.lastname: Nowell
authors.forename: Qi
authors.initials: Q
authors.lastname: Miao
mesh_terms: D000172:Acromegaly / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000236:Adenoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D018761:Multiple Endocrine Neoplasia Type 1 / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D010911:Pituitary Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery