Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2012  |  Volume : 5  |  Issue : 2  |  Page : 190-192

Paraganglioma causing a myocardial infarction


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
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Source of Support: None, Conflict of Interest: None


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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