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Unusual association of diseases/symptoms
Case report
Curious case of reversible left ventricular dysfunction in a young woman
  1. Ahamed Shaheer Ahmed1,
  2. Sampath Kumar1,
  3. Sudheer Arava2 and
  4. Sivasubrmanian Ramakrishnan1
  1. 1Cardiology, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Pathology, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Sivasubrmanian Ramakrishnan; ramaaiims{at}gmail.com

Abstract

A 27-year-old woman presented with breathlessness on exertion of 3 months duration and was treated as dilated cardiomyopathy elsewhere. On evaluation, she was found to have left ventricular hypertrophy with ventricular dysfunction. CT angiogram revealed a peripheral-enhancing mass with central necrosis in the aortocaval region. Elevated serum metanephrine and uptake in 131iodine metaiodobenzylguanidine scan lead to the diagnosis of paraganglioma. Patient underwent open surgical excision of the tumour. Left ventricular function became normal and left ventricular hypertrophy resolved after surgery.

  • heart failure
  • cardiovascular medicine

https://doi.org/10.1136/bcr-2020-234978

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    Footnotes

    • Contributors ASA was involved in preparing the manuscript and data collection. SK was involved in patient care and data collection. SA did histopathological examination of mass. SR was involved in patient care, gave critical inputs and finalised the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.