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Case report: Pheochromocytoma complicated by type B aortic dissection
INTRODUCTION: Pheochromocytomas combined with aortic dissections are rare. Treatment of aortic dissection can be complicated by the presence of pheochromocytomas. CASE PRESENTATION: we present the case of a 48-year-old male who visited the hospital with chest and back pain for 13 h. Enhanced compute...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565028/ https://www.ncbi.nlm.nih.gov/pubmed/37829691 http://dx.doi.org/10.3389/fcvm.2023.1236896 |
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author | Yi, Dan Liu, Xiatian Fan, Libin |
author_facet | Yi, Dan Liu, Xiatian Fan, Libin |
author_sort | Yi, Dan |
collection | PubMed |
description | INTRODUCTION: Pheochromocytomas combined with aortic dissections are rare. Treatment of aortic dissection can be complicated by the presence of pheochromocytomas. CASE PRESENTATION: we present the case of a 48-year-old male who visited the hospital with chest and back pain for 13 h. Enhanced computed tomography (CT) revealed a type B aortic dissection combined with a left adrenal mass (72 mm). Elevated 24-h urinary vanillylmandelic acid levels can aid in the diagnosis of pheochromocytomas. Aortic dissection due to unstable hypertension secondary to pheochromocytoma is rare and complicates the procedure. Thoracic endovascular aortic repair was performed, and antihypertensive treatments were administered after surgery. After hypertension was addressed and the patient was stable, laparoscopic resection of the adrenal mass was performed. CONCLUSIONS: despite its rarity, it is important to consider pheochromocytoma as a differential factor for unstable hypertension when an aortic dissection is found. |
format | Online Article Text |
id | pubmed-10565028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105650282023-10-12 Case report: Pheochromocytoma complicated by type B aortic dissection Yi, Dan Liu, Xiatian Fan, Libin Front Cardiovasc Med Cardiovascular Medicine INTRODUCTION: Pheochromocytomas combined with aortic dissections are rare. Treatment of aortic dissection can be complicated by the presence of pheochromocytomas. CASE PRESENTATION: we present the case of a 48-year-old male who visited the hospital with chest and back pain for 13 h. Enhanced computed tomography (CT) revealed a type B aortic dissection combined with a left adrenal mass (72 mm). Elevated 24-h urinary vanillylmandelic acid levels can aid in the diagnosis of pheochromocytomas. Aortic dissection due to unstable hypertension secondary to pheochromocytoma is rare and complicates the procedure. Thoracic endovascular aortic repair was performed, and antihypertensive treatments were administered after surgery. After hypertension was addressed and the patient was stable, laparoscopic resection of the adrenal mass was performed. CONCLUSIONS: despite its rarity, it is important to consider pheochromocytoma as a differential factor for unstable hypertension when an aortic dissection is found. Frontiers Media S.A. 2023-09-27 /pmc/articles/PMC10565028/ /pubmed/37829691 http://dx.doi.org/10.3389/fcvm.2023.1236896 Text en © 2023 Yi, Liu and Fan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Yi, Dan Liu, Xiatian Fan, Libin Case report: Pheochromocytoma complicated by type B aortic dissection |
title | Case report: Pheochromocytoma complicated by type B aortic dissection |
title_full | Case report: Pheochromocytoma complicated by type B aortic dissection |
title_fullStr | Case report: Pheochromocytoma complicated by type B aortic dissection |
title_full_unstemmed | Case report: Pheochromocytoma complicated by type B aortic dissection |
title_short | Case report: Pheochromocytoma complicated by type B aortic dissection |
title_sort | case report: pheochromocytoma complicated by type b aortic dissection |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565028/ https://www.ncbi.nlm.nih.gov/pubmed/37829691 http://dx.doi.org/10.3389/fcvm.2023.1236896 |
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