Cardiomyopathie dilatée compliquant un phéochromocytome d’évolution favorable après chirurgie : à propos d'un cas à Dakar « cas clinique avec revue de littérature »

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2025-03-10 DOI:10.1016/j.ancard.2025.101866

Wn Mboup , Sct Ndao , M Sarr , M Faye , Pm Guisse , Mm Ka , Mn Sarr , K Dia

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引用次数: 0

Abstract

Introduction

Dilated cardiomyopathy is a rare and often little-known complication of pheochromocytoma, it is likewise exceptionally its discovery circumstance. This is usually an acute, reversible cardiomyopathy.We report the case of a 20-year-old young adult hospitalized for hypokinetic dilated cardiomyopathy with severe impairment of left ventricular ejection fraction (LVEF) to 17%. High blood pressure persisted despite antihypertensive treatment, and the heart failure syndrome was refractory to medical treatment.

Abdominal CT scan revealed a heterogeneous adrenal mass strongly suggestive of pheochromocytoma. Determination of plasma metanephrines and normetanephrines led to the diagnosis of pheochromocytoma. After surgery, the course was marked by stabilization of blood pressure, normalization of Doppler echocardiography and complete clinical remission.

He remained asymptomatic at one year.

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心肌病扩张性心肌病，手术后有利于细胞增殖的心肌病：关于达喀尔的一个病例“临床案例与文献综述”

扩张型心肌病是嗜铬细胞瘤的一种罕见且鲜为人知的并发症，它的发现情况也很特殊。这通常是一种急性、可逆的心肌病。我们报告一例20岁的年轻人住院的低运动扩张型心肌病与严重损害左心室射血分数（LVEF）至17%。尽管进行了降压治疗，但高血压仍然存在，心衰综合征对药物治疗难治性。腹部CT扫描显示一非均匀肾上腺肿块，强烈提示嗜铬细胞瘤。血浆肾上腺素和去甲肾上腺素的测定有助于嗜铬细胞瘤的诊断。手术后，血压稳定，多普勒超声心动图正常化，临床完全缓解。一年后他仍无症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.