Westaby S, Shahir A, Sadler G, Flynn F, Ormerod O
Mechanical bridge to recovery in pheochromocytoma myocarditis. [Journal Article]
Nat Rev Cardiol 2009 Jul; 6(7):482-7.
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.Investigations. 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.Diagnosis. Pheochromocytoma myocarditis.Management. Intra-aortic balloon pump, levosimendan and dobutamine infusion, alpha-blockade with phentolamine, surgical removal of the pheochromocytoma, Levitronix((R)) (Levitronix LLC, Waltham, MA) left ventricular assist device implantation.
More from this journal |
