Concurrent Pheochromocytoma, Ventricular Tachycardia, Left Ventricular Thrombus, and Systemic Embolization

Abstract

An obese 43-year-old

Hypertensive Crisis and Left Ventricular Thrombi after an Upper Respiratory Infection during the Long-term Use of Oral Contraceptives

“…The former is related to deep vein thrombosis and pulmonary thromboembolism. The latter is the cause of systemic thromboembolism, such as cerebral infarction, renal infarction, and mesenteric artery occlusion (22,23). The present patient showed the typical clinical course of leftsided cardiac thrombi.…”

Acute upper extremity arterial thrombosis and stroke in an unresected pheochromocytoma

“…26,27 Of those, only a small fraction are found to have an intracardiac thrombus, the major risk being subsequent embolization to the brain, kidneys, and lower extremities. 2,3,7,9,23 An examination of the existing literature on thrombotic complications of pheochromocytomas reveals several notable observations. First, the first major thrombotic Finally, we note that the tumors in these studies are quite large, ranging in size from 3.5 to 10.6 cm, with only five being <6 cm.…”

“…2-25 When present, the intracardiac thrombus serves as a nidus for emboli to the brain, kidneys, and distal extremities. 2,3,7,9,23 Of the 28 patients reported in the literature, a left ventricle thrombus was identified in only eight (Table). Inferior vena cava (IVC) thrombi were present in 13 patients, with some thrombi extending to the level of the right atrium.…”

Thromboembolic events identified during diagnosis of germ cell tumors in 2 children

“…The incidence of germ cell tumor-associated thromboembolism is not known and there are only scattered reports of such cases [10]. Thromboembolisms in germ cell tumors could be associated with elevated serum β-HCG levels [11], obesity, and high serum LDH levels [12, 13]. These are the reasons for frequent venous thromboembolisms in gliomas, which are usually accompanied by elevated serum β-HCG levels [14].…”