Abstract
Cardiac paragangliomas are an extremely rare cause of cardiac masses. We present a case of a cardiac paraganglioma presenting as a highly vascular mass on coronary angiography in a patient with angina, we discuss the challenges in its diagnostic evaluation and management. Keywords: Paraganglioma, heart, tumor, diagnosis.
Highlights
He underwent an exercise nuclear myocardial perfusion study 5-weeks prior to coronary angiography exercising for 2.8 minutes on a standard Bruce protocol achieving a peak heart rate of 139 bpm (86% of maximum predicted heart rate), blood pressure of 142/90 mm Hg and maximal workload of 7.0 METS
Paragangliomas are benign tumors arising from chromaffin cells of extra-adrenal sympathetic ganglia and have been reported throughout the body [1]
The paragangliomas may originate from the chromaffin cells located in the cardiac chambers, atrioventricular groove, or from the nerve plexuses around the coronary arteries [3]
Summary
Cardiac paragangliomas are an extremely rare cause of cardiac masses. We present a case of a cardiac paraganglioma presenting as a highly vascular mass on coronary angiography in a patient with angina, we discuss the challenges in its diagnostic evaluation and management. Для цитирования: Qamar A, Vaynblat M, Koeckert M, Zhou F, Babaev A. Нью-Йоркский медицинский университет, НьюЙорк, США 2 Отделение сердечно-торакальной хирургии, Школа медицины им. Нью-Йоркский медицинский университет, Нью-Йорк, США 3 Отделение патологической анатомии, Школа медицины им. Кардиальные параганглиомы – крайне редкая опухоль сердца. Выявленной при коронарной ангиографии у пациента со стенокардией в виде гиперваскуляризированного объёмного образования. Обсуждены особенности диагностики и лечения параганглиомы сердца. For citation: Qamar A, Vaynblat M, Koeckert M, Zhou F, Babaev A.
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