Email this article 
Post a Comment Pheochromocytoma in combination with severe aortic insufficiency: clinical case
- Authors: Shustov S.B.1,2, Shafigullina Z.R.1, Vydrych A.N.1, Lisitsyn A.A.1, Semenova A.N.2
-
Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Kirov Military Medical Academy
- Issue: Vol 16, No 1 (2024)
- Pages: 87-93
- Section: Case report
- URL: https://journal-vniispk.ru/vszgmu/article/view/256891
- DOI: https://doi.org/10.17816/mechnikov626645
- ID: 256891
Cite item
Open Access
Access granted
Subscription Access
Abstract
Pheochromocytoma is a rare neuroendocrine tumor of the adrenal medulla with widespread cardiac complications. Dilation of the heart chambers can cause valve defects. At the same time, severe cardiac comorbid conditions that complicate the choice of treatment tactics for patients are not sufficiently described in the literature. A clinical case of pheochromocytoma in combination with severe aortic insufficiency in a man admitted to the endocrinology department is presented. In conditions of aortic insufficiency, the risk of surgical intervention is extremely high. After a thorough analysis of clinical and laboratory-instrumental data, the patient was recommended to have a right-sided laparoscopic adrenalectomy.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Sergey B. Shustov
North-Western State Medical University named after I.I. Mechnikov; Kirov Military Medical Academy
Email: Sergei.Shustov@szgmu.ru
ORCID iD: 0000-0002-9075-8274
SPIN-code: 5237-2036
MD, Dr. Sci. (Med.), Professor
Russian Federation, 41 Kirochnay St., Saint Petersburg, 191015; Saint PetersburgZulfiya R. Shafigullina
North-Western State Medical University named after I.I. Mechnikov
Email: zulfiya.shafigullina@szgmu.ru
ORCID iD: 0000-0001-8292-8504
SPIN-code: 7569-3823
MD, Cand. Sci. (Med.)
Russian Federation, 41 Kirochnay St., Saint Petersburg, 191015Anna N. Vydrych
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: an.vidrih@mail.ru
ORCID iD: 0009-0006-9667-3454
SPIN-code: 7301-8482
MD, Cand. Sci. (Med.)
Russian Federation, 41 Kirochnay St., Saint Petersburg, 191015Aleksandr A. Lisitsyn
North-Western State Medical University named after I.I. Mechnikov
Email: aleksandr.lisitsyn@szgmu.ru
ORCID iD: 0000-0003-2045-0044
SPIN-code: 3237-4309
MD, Cand. Sci. (Med.)
Russian Federation, 41 Kirochnay St., Saint Petersburg, 191015Alisa N. Semenova
Kirov Military Medical Academy
Email: foxberry451@gmail.com
ORCID iD: 0000-0002-0809-3681
MD, clinical resident
Russian Federation, Saint PetersburgReferences
- Mokhort TV, Velesevich EI, Mokhort EG. Pheochromocytoma: new approaches to diagnosis and management. Mezhdunarodnye obzory: klinicheskaya praktika i zdorov’e. 2016;(1):4–23. EDN: VKQONP
- Santos JRU, Brofferio A, Viana B, Pacak K. Catecholamine-induced cardiomyopathy in pheochromocytoma: how to manage a rare complication in a rare disease? Horm Metab Res. 2019;51(7):458–469. doi: 10.1055/a-0669-9556
- Beltsevich DG, Kuznetsov AB, Lysenko MA, et al. Catecholamine-induced cardiomyopathy in patients with pheochromocytoma. Endocrine surgery. 2013;7(1):16–22. EDN: RTQBLP doi: 10.14341/serg2013116-22
- Yang L, Hennis L, Patel K, Saccocci MA. Laparoscopic adrenalectomy of pheochromocytoma following management of severe aortic stenosis with transcatheter aortic valve replacement under monitored anesthesia care sedation: a case report. BMC Anesthesiol. 2023;23(1):18. doi: 10.1186/s12871-023-01977-6
- Feinstein I, Lee T, Khan S, et al. A case report of an open aortic valve replacement followed by open adrenalectomy in a patient with symptomatic pheochromocytoma and critical aortic stenosis. J Cardiothorac Surg. 2021;16(1):282. doi: 10.1186/s13019-021-01665-x
- Haase M, Dringenberg T, Allelein S, et al. Excessive catecholamine secretion and the activation of the renin-angiotensin-aldosterone system in patients with pheochromocytoma: a single center experience and overview of the literature. Horm Metab Res. 2017;49(10):748–754. doi: 10.1055/s-0043-117179
- Thompson LDR. Pheochromocytoma of the Adrenal gland Scaled Score (PASS) to separate benign from malignant neoplasms: a clinicopathologic and immunophenotypic study of 100 cases. Am J Surg Pathol. 2002;26(5):551–566. doi: 10.1097/00000478-200205000-00002
Supplementary files
