دورية أكاديمية
When Zebras Collide: A Case of Synchronous Wolff-Parkinson-White Syndrome and Pheochromocytoma.
| العنوان: | When Zebras Collide: A Case of Synchronous Wolff-Parkinson-White Syndrome and Pheochromocytoma. |
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| المؤلفون: | Zhu K; Rochester Regional Health Internal Medicine Residency Program, Rochester, NY, USA.; Department of Internal Medicine, Rochester General Hospital, Rochester, NY, USA., Solin S; Department of Internal Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, USA., Deming MS; Department of Internal Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, USA. |
| المصدر: | The American journal of case reports [Am J Case Rep] 2021 Dec 06; Vol. 22, pp. e934137. Date of Electronic Publication: 2021 Dec 06. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: International Scientific Information, Inc Country of Publication: United States NLM ID: 101489566 Publication Model: Electronic Cited Medium: Internet ISSN: 1941-5923 (Electronic) Linking ISSN: 19415923 NLM ISO Abbreviation: Am J Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2014- > : Smithtown, NY : International Scientific Information, Inc. Original Publication: Albertson, NY : International Scientific Literature, Inc. |
| مواضيع طبية MeSH: | Adrenal Gland Neoplasms*/complications , Adrenal Gland Neoplasms*/diagnosis , Adrenal Gland Neoplasms*/surgery , Pheochromocytoma*/diagnosis , Pheochromocytoma*/surgery , Wolff-Parkinson-White Syndrome*/diagnosis , Wolff-Parkinson-White Syndrome*/surgery, Animals ; Electrocardiography ; Equidae ; Humans ; Male |
| مستخلص: | BACKGROUND Pheochromocytoma is a rare catecholamine-secreting tumor arising from chromaffin cells of the adrenal medulla. Wolff-Parkinson-White (WPW) pattern is a rare congenital cardiac conduction disorder in which 1 or more accessory pathways connects the atria and ventricles, bypassing the atrioventricular (AV) node. Patients with this type of accessory pathway who also experience pre-excitation evoked arrhythmias have what is termed WPW syndrome. Here, we present a patient with a WPW pattern who underwent surgical resection of a pheochromocytoma, review considerations relating to the perioperative management, and briefly summarize the hormonal effects of pheochromocytoma in a patient with a WPW accessory pathway. CASE REPORT A man in his early 30's with a history of hypertension developed shortness of breath with palpitations, was noted to have delta waves on electrocardiogram (ECG), and was given a diagnosis of WPW syndrome. Six years later, he developed headache, chest pain, and flank discomfort in addition to his daily palpitations and shortness of breath. Plasma catecholamine levels were measured and found to be elevated, and imaging studies noted the presence of a large right-sided adrenal mass, consistent with a pheochromocytoma. A decision was made to proceed with a laparoscopic right adrenalectomy, which was successful and uneventful. Through the 30-day postoperative period, he reported no further episodes of symptomatic palpitations for the first time in several years. CONCLUSIONS To the best of our knowledge, this is only the fourth case in the literature describing pheochromocytoma with co-existing WPW syndrome. In our case, resection of the pheochromocytoma ameliorated the patient's chronic WPW-related tachyarrhythmia. |
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| تواريخ الأحداث: | Date Created: 20211206 Date Completed: 20211207 Latest Revision: 20220105 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8667631 |
| DOI: | 10.12659/AJCR.934137 |
| PMID: | 34866133 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1941-5923 |
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| DOI: | 10.12659/AJCR.934137 |