| CASE REPORT |
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| Year : 2012 | Volume
: 5
| Issue : 2 | Page : 190-192 |
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Paraganglioma causing a myocardial infarction
Gerard DeMers, Steve Portouw
Emergency Department, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000, USA
Correspondence Address:
Gerard DeMers
Emergency Department, Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000
USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-2700.96495
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Paragangliomas, extra-adrenal pheochromocytomas, are rare and classically associated with sustained or paroxysmal hypertension, headache, perspiration, palpitations, and anxiety. A 49-year-old male, parachute instructor, likely developed a hypertensive emergency when deploying his parachute leading to a myocardial infarction. A para-aortic tumor was incidentally discovered during the patient's emergency department work-up and was eventually surgically resected. He had no evidence of coronary disease during his evaluation. This case shows that a myocardial infarction may be the initial manifestation of these neuroendocrine tumors. Hypertensive emergency, much less elevated blood pressure may not be present at time of presentation. |
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