Pheochromocytoma in combination with severe aortic insufficiency: clinical case

Sergey B. Shustov , Zulfiya R. Shafigullina , Anna N. Vydrych , Aleksandr A. Lisitsyn , Alisa N. Semenova

HERALD of North-Western State Medical University named after I.I. Mechnikov ›› 2024, Vol. 16 ›› Issue (1) : 87 -93.

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HERALD of North-Western State Medical University named after I.I. Mechnikov ›› 2024, Vol. 16 ›› Issue (1) :87 -93. DOI: 10.17816/mechnikov626645
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Pheochromocytoma in combination with severe aortic insufficiency: clinical case

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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.

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pheochromocytoma / aortic insufficiency / adrenalectomy

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Sergey B. Shustov, Zulfiya R. Shafigullina, Anna N. Vydrych, Aleksandr A. Lisitsyn, Alisa N. Semenova. Pheochromocytoma in combination with severe aortic insufficiency: clinical case. HERALD of North-Western State Medical University named after I.I. Mechnikov, 2024, 16(1): 87-93 DOI:10.17816/mechnikov626645

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References

[1]

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

[2]

Мохорт Т.В., Велесевич Е.И., Мохорт Е.Г. Феохромоцитома: современные подходы к диагностике и лечению // Международные обзоры: клиническая практика и здоровье. 2016. № 1. С. 4–23. EDN: VKQONP

[3]

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

[4]

Santos J.R.U., 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. Vol. 51, N. 7. P. 458–469. doi: 10.1055/a-0669-9556

[5]

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

[6]

Бельцевич Д.Г., Кузнецов А.Б., Лысенко М.А., и др. Катехоламининдуцированная кардиомиопатия у больных с феохромоцитомой // Эндокринная хирургия. 2013. Т. 7, №. 1. С. 16–22. EDN: RTQBLP doi: 10.14341/serg2013116-22

[7]

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

[8]

Yang L., Hennis L., Patel K., Saccocci M.A. 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. Vol. 23, N. 1. P. 18. doi: 10.1186/s12871-023-01977-6

[9]

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

[10]

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. Vol. 16, N. 1. P. 282. doi: 10.1186/s13019-021-01665-x

[11]

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

[12]

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. Vol. 49, N. 10. P. 748–754. doi: 10.1055/s-0043-117179

[13]

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

[14]

Thompson L.D.R. 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. Vol. 26, N. 5. P. 551–566. doi: 10.1097/00000478-200205000-00002

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