PMID- 30037518
OWN - NLM
STAT- MEDLINE
DCOM- 20190312
LR  - 20190312
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 55
IP  - 4
DP  - 2018 Oct
TI  - Postpartum Diagnosis of Cardiac Paraganglioma: A Case Report.
PG  - e101-e105
LID - S0736-4679(18)30605-X [pii]
LID - 10.1016/j.jemermed.2018.05.034 [doi]
AB  - BACKGROUND: Extra-adrenal pheochromocytomas, or paragangliomas, originate from
      neural crest chromaffin cells and can be found anywhere along the sympathetic
      chain from head to toe. CASE REPORT: A 34-year-old female presented 4 days
      postpartum with episodes of palpitations, hypertension, and shortness of breath. 
      Two episodes in the emergency department confirmed hypertension and
      supraventricular tachycardia (SVT). A mediastinal mass was noted during workup
      for pulmonary embolus and was subsequently diagnosed as a cardiac paraganglioma. 
      Our patient underwent surgical resection and was doing well 3 months
      postoperatively. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case
      represents a rare presentation of mediastinal paraganglioma with episodic SVT and
      hypertension postpartum, diagnosed during workup for pulmonary embolus. Although 
      exceedingly rare, emergency physicians should consider paragangliomas in the
      differential of pregnant or postpartum women who present with episodic
      hypertension, palpitations, headache, and sweating.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Berona, Kristin
AU  - Berona K
AD  - Department of Emergency Medicine, Kaiser Permanente Santa Clara Medical Center,
      Santa Clara, California.
FAU - Joshi, Rita
AU  - Joshi R
AD  - Department of Radiology, Kaiser Permanente Santa Clara Medical Center, Santa
      Clara, California.
FAU - Woo, Y Joseph
AU  - Woo YJ
AD  - Department of Cardiothoracic Surgery, Stanford University School of Medicine,
      Stanford, California.
FAU - Shrager, Joseph
AU  - Shrager J
AD  - Department of Cardiothoracic Surgery, Stanford University School of Medicine,
      Stanford, California.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20180720
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
SB  - IM
MH  - Adult
MH  - Dyspnea/etiology
MH  - Electrocardiography/methods
MH  - Emergency Service, Hospital/organization & administration
MH  - Female
MH  - Humans
MH  - Hypertension/complications
MH  - Mediastinum/abnormalities
MH  - Paraganglioma/complications/*diagnosis
MH  - *Postpartum Period
MH  - Pregnancy
MH  - Tachycardia, Supraventricular/complications/etiology
MH  - Tomography, X-Ray Computed/methods
OTO - NOTNLM
OT  - *cardiac mass
OT  - *imaging
OT  - *paraganglioma
OT  - *supraventricular tachycardia
EDAT- 2018/07/25 06:00
MHDA- 2019/03/13 06:00
CRDT- 2018/07/25 06:00
PHST- 2018/03/22 00:00 [received]
PHST- 2018/04/25 00:00 [revised]
PHST- 2018/05/30 00:00 [accepted]
PHST- 2018/07/25 06:00 [pubmed]
PHST- 2019/03/13 06:00 [medline]
PHST- 2018/07/25 06:00 [entrez]
AID - S0736-4679(18)30605-X [pii]
AID - 10.1016/j.jemermed.2018.05.034 [doi]
PST - ppublish
SO  - J Emerg Med. 2018 Oct;55(4):e101-e105. doi: 10.1016/j.jemermed.2018.05.034. Epub 
      2018 Jul 20.