Pheochromocytoma complicated with acute myocardial infarction and cerebral infarction: a case report - Summary - MDSpire

Pheochromocytoma complicated with acute myocardial infarction and cerebral infarction: a case report

  • By

  • Yi Zhang

  • Fei Zhou

  • Hao Zhou

  • Jian Deng

  • Xiaoyu Chen

  • Xuemei Li

  • Rui Wang

  • May 22, 2026

  • 0 min

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Objective:

To report a rare case of acute myocardial infarction and cerebral infarction associated with pheochromocytoma, emphasizing the critical need for awareness in diagnosis and treatment.

Key Findings:
  • The patient had acute myocardial infarction with non-obstructive coronary arteries, indicating a type 2 myocardial infarction due to catecholamine effects.
  • Catecholamine storm from pheochromocytoma was implicated in the cardiovascular and cerebrovascular events.
  • The patient experienced a subdural hematoma post-operation but stabilized with adjusted antithrombotic therapy, highlighting the need for careful monitoring.
Interpretation:

Acute myocardial infarction and cerebral infarction were sequential manifestations of systemic vasculopathy due to catecholamine release, underscoring the importance of recognizing these conditions in clinical practice.

Limitations:
  • The case is based on a single patient, limiting generalizability and potential biases in case reporting.
  • Long-term outcomes and the impact of pheochromocytoma treatment were not assessed.
Conclusion:

Screening for pheochromocytoma is crucial in patients with severe blood pressure fluctuations and unexplained multi-organ ischemia, emphasizing the importance of early diagnosis and management.

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