Type A Aortic Dissection Complicated by Pheochromocytoma

This report presents a case of aortic dissection as the patient’s initial presentation of an undiagnosed pheochromocytoma. A 36-year-old man presented with substernal chest pressure and abdominal pain. Computed tomography revealed type A aortic dissection with a 3.6-cm left adrenal mass. Elevated ca...

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Veröffentlicht in:The Annals of thoracic surgery 2019-01, Vol.107 (1), p.e13-e14
Hauptverfasser: Runyan, Brianne, Hanak, Courtney R., Mahendiran, Sagana, Allamaneni, Shaym, Vester, Samuel
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Sprache:eng
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Zusammenfassung:This report presents a case of aortic dissection as the patient’s initial presentation of an undiagnosed pheochromocytoma. A 36-year-old man presented with substernal chest pressure and abdominal pain. Computed tomography revealed type A aortic dissection with a 3.6-cm left adrenal mass. Elevated catecholamine levels were diagnostic of pheochromocytoma. Type A aortic dissection caused by uncontrolled hypertension secondary to pheochromocytoma is a rare entity. This can complicate surgical planning. Although this situation is rare, it is important to consider pheochromocytoma in the differential diagnosis of uncontrolled hypertension in the setting of type A aortic dissection.
ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2018.05.084