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- W4285087146 abstract "Abstract Background Cardiac paraganglioma is clinically rare, and its main symptoms are hypertension and metabolic changes. According to the medical history and clinical manifestations, combined with routine laboratory examinations and imaging examinations, the diagnosis can be made, and pathological examination is required for the final diagnosis.Case presentation The authors present a 31-year-old male patient with a left atrial mass. The initial symptom was cough. Cardiac enlargement was found during the chest X-ray. The follow-up imaging examination showed that the left atrial occupying, and the possibility of malignant occupying was not ruled out. The patient underwent surgical resection of the mass. The final pathological result showed paraganglioma. Thoracic CT review two months after the operation showed that the original occupying had disappeared and no new occupying was found.Conclusions Pheochromocytoma and paraganglioma (PPGL) are a kind of neuroendocrine tumors. PPGL can cause secondary hypertension, and lead to a series of clinical syndromes, including myocardial injury, metabolic changes, and so on. The tumor should be surgically removed as soon as possible after the diagnosis. However, squeezing the tumor during the operation can lead to the release of catecholamine, which may cause a hypertensive crisis, arrhythmia, and moderate stroke. Due to the drastic reduction of catecholamine after the operation, it may cause peripheral vasodilation, leading to persistent hypotension and even death. Therefore, multidisciplinary cooperation before, during, and after the operation is extremely important." @default.
- W4285087146 created "2022-07-14" @default.
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- W4285087146 date "2022-07-13" @default.
- W4285087146 modified "2023-10-18" @default.
- W4285087146 title "Intracardiac paraganglioma with cough as the first symptom: a case report" @default.
- W4285087146 doi "https://doi.org/10.21203/rs.3.rs-1821782/v1" @default.
- W4285087146 hasPublicationYear "2022" @default.
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