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Case Report
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| An unusual cause for syncope: Pericardial paraganglioma causing right ventricular outflow obstruction | ||||||
| Kailyn Mann1, Mahek Shah2, Naumann Islam2, Ronald Freudenberger2, Matthew Martinez2, Larry Jacobs2 | ||||||
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1Department of Medicine, Lehigh Valley Health Network, Allentown PA.
2Division of Cardiology, Department of Medicine, Lehigh Valley Health Network, Allentown PA. | ||||||
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| How to cite this article |
| Mann K, Shah M, Islam N, Freudenberger R, Martinez M, Jacobs L. An unusual cause for syncope: Pericardial paraganglioma causing right ventricular outflow obstruction. Int J Case Rep Images 2017;8(1):41–45. |
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Abstract
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Introduction:
Metastases are the most common cardiac neoplasms with primary cardiac tumors being rare. Cardiac paragangliomas constitute <5% of primary cardiac tumors. They tend to remain asymptomatic until discovered incidentally or grow to a size large enough to cause symptoms. Symptoms of cardiac tumors are generally secondary to local invasion, mass effect or embolization.
Case Report: A case of pericardial paraganglioma leading to right ventricular outflow obstruction and subsequent hypotension and syncope is presented. Due to its large size, slow growth and proximity to large vessels, the tumor considered to be at a very high risk for resection and conservative management was chosen. Conclusion: Though rare, cardiac tumors must be among the differential for cardiovascular symptoms. Size and location of the tumor may determine the characteristics of symptoms produced, ranging from syncope, angina or dyspnea to cardiovascular collapse. | |
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Keywords:
Cardiac MRI, Cardiac tumor, Compression, Hypotension, Paraganglioma, Pericardial, Syncope
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Author Contributions
Kailyn Mann – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mahek Shah – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Naumann Islam – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ronald Freudenberger – Substantial contributions to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Matthew Martinez – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Larry Jacobs – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Kailyn Mann et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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