[Early coronary atherosclerosis in a malignant pheochromocytoma. Apropos of a case].

J E Touze, A Monnier, T Mardelle, R Seka, D Metras, E Bertrand
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Abstract

An observation of adrenergic myocarditis with clinical and electrical signs of coronary failure is reported. The patient had electrical and enzymatic manifestations of acute anteroseptal necrosis, complicated at the acute stage by complete atrioventricular block and fatal vasoplegic circulatory collapse. Post-mortem examination showed obstructive atherosclerosis of the anterior interventricular artery without anatomic signs of infarction. Pathogenesis of this coronary failure is discussed. In this case, functional coronary insufficiency produced by catecholamine release was associated with coronary atherosclerosis.

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恶性嗜铬细胞瘤的早期冠状动脉粥样硬化。关于一个案例]。
报告一例肾上腺素能性心肌炎伴冠状动脉衰竭的临床和电体征。患者有急性房间隔坏死的电和酶表现,急性期并发完全性房室传导阻滞和致死性血管截瘫性循环衰竭。死后检查显示前室间动脉梗阻性动脉粥样硬化,无梗死的解剖征象。本文讨论了冠状动脉衰竭的发病机制。在这种情况下,由儿茶酚胺释放产生的功能性冠状动脉功能不全与冠状动脉粥样硬化有关。
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