Open AccessCurious case of reversible left ventricular dysfunction in a young woman
Author(s) -
A Shaheer Ahmed,
S Kumar,
Sudheer Arava,
S Ramakrishnan
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-234978
Subject(s) - medicine , left ventricular hypertrophy , cardiology , muscle hypertrophy , exertion , ventricular function , ventricular hypertrophy , cardiomyopathy , dilated cardiomyopathy , metanephrine , radiology , heart failure , blood pressure , pheochromocytoma
A 27-year-old woman presented with breathlessness on exertion of 3 months duration and was treated as dilated cardiomyopathy elsewhere. On evaluation, she was found to have left ventricular hypertrophy with ventricular dysfunction. CT angiogram revealed a peripheral-enhancing mass with central necrosis in the aortocaval region. Elevated serum metanephrine and uptake in 131 iodine metaiodobenzylguanidine scan lead to the diagnosis of paraganglioma. Patient underwent open surgical excision of the tumour. Left ventricular function became normal and left ventricular hypertrophy resolved after surgery.