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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


DURE RIVEROS, César Damián  and  RUIZ DIAZ, Leda. Acute coronary syndrome due to pheochromocytoma. Rev. virtual Soc. Parag. Med. Int. [online]. 2022, vol.9, n.2, pp.137-142. ISSN 2312-3893.

Pheochromocytoma is a chromaffin tumor generally located in the adrenal gland, originated in neuroectoderm cells and a catecholamine-producing tumor.

We present a clinical case of a 56-year-old man with a history of arterial hypertension who consulted for symptoms of an acute coronary syndrome. The coronary angiography ruled out atherosclerotic ischemic heart disease and the diagnosis of pheochromocytoma was reached based on imaging studies and pathology. The tumor was removed with open surgery.

In arterial hypertension that is difficult to manage and in cardiac pathologies with atypical presentations, pheochromocytoma must be taken into account as a differential diagnosis.

Keywords : acute coronary syndrome; pheochromocytoma; hypertension; neoplasms; adrenal glands; catecholamines.

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