JACC: Case Reports (Feb 2024)

Exertional Angina in a Young Woman Caused by Large Cardiac Paraganglioma

  • David Lin, MD,
  • Joao Cavalcante, MD,
  • Victor Cheng, MD,
  • John Lesser, MD

Journal volume & issue
Vol. 29, no. 4
p. 102209

Abstract

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Coronary ischemia is uncommon in patients in their third decade of life. We present a 21-year-old woman with classic exertional angina secondary to a large cardiac paraganglioma. Cardiac paragangliomas are rare extra-adrenal neuroendocrine tumors that arise from chromaffin cells. Cardiac symptoms can be related to catecholamine excess or anatomical compression.

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