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좌심실 혈전을 동반한 스트레스 유발 심근병증으로 발현된 갈색세포종 1예
장덕현 ( Duck Hyun Jang ),박진식 ( Jin Sik Park ),강명신 ( Myung Shin Kang ),김태훈 ( Tae Hoon Kim ),신동희 ( Dong Hee Shin ),이지혜 ( Ji Hye Lee ),채명준 ( Myung Joon Chae ) 대한내과학회 2014 대한내과학회지 Vol.87 No.1
The clinical presentation of pheochromocytoma is variable. The classic symptoms are headache, diaphoresis, and tachycardia, with paroxysmal hypertension. Other less common cardiovascular manifestations, such as arrhythmias, angina pectoris, acute myocardial infarction, dilated cardiomyopathy, and acute heart failure, have been reported occasionally. We present the case of a middle-aged woman who had stress-induced cardiomyopathy with a left ventricular thrombus, due to the pheochromocytoma. The thrombus was embolized to the aorto-iliac bifurcation during hospitalization. We removed the thrombus by a catheter thromboembolectomy and performed a surgical left adrenalectomy. After the operation, all of her symptoms and the underlying diseases (hypertension, hyperglycemia, heart failure, dyslipidemia) resolved. (Korean J Med 2014;87:77-80)
장덕현 ( Duck Hyun Jang ),최락경 ( Rak Kyeong Choi ),함의근 ( Eo Kewn Ham ),심원흠 ( Won Heum Sim ),채명준 ( Myung Joon Chae ),이수연 ( Soo Youn Lee ),현주용 ( Joo Yong Hyun ) 대한내과학회 2013 대한내과학회지 Vol.84 No.1
Acute pulmonary embolism is considered a cardiovascular emergency and is one of the most important causes of morbidity and mortality in hospitalized patients. Tumor embolism is a rare and unique complication of malignancies, and detached thrombi or tumors may cause massive pulmonary embolism in patients with malignancies. The identification of the type of pulmonary embolism is critical because treatment and prognosis vary considerably. We report an unusual presentation of a tumor embolism that was misdiagnosed as a pulmonary thromboembolism in a young woman. The patient was initially treated with the anti-coagulants warfarin and aspirin, but her symptoms were aggravated after two months and she required emergency surgery. Histology revealed a pulmonary embolism due to metastatic chondrosarcoma. Following surgery, her condition deteriorated, and she did not survive. This case highlights the need to investigate the cause of pulmonary embolism should the patient not respond to anti-coagulatant therapy. (Korean J Med 2013;84:96-100)