Aortic Paraganglioma Masking as Intramural Hematoma: When You Hear Hoofbeats Think Zebras, Not Horses

Christopher Gaisendrees; Maximilian Luehr; Jana Siemanowski; Udo Siebolts; Ferdinand Kuhn-Régnier; Thorsten Wahlers

doi:10.1016/j.jaccas.2023.101852

Aortic Paraganglioma Masking as Intramural Hematoma: When You Hear Hoofbeats Think Zebras, Not Horses

JACC Case Rep. 2023 May 4:15:101852. doi: 10.1016/j.jaccas.2023.101852. eCollection 2023 Jun 7.

Authors

Christopher Gaisendrees¹, Maximilian Luehr¹, Jana Siemanowski², Udo Siebolts², Ferdinand Kuhn-Régnier¹, Thorsten Wahlers¹

Affiliations

¹ Department of Cardiothoracic Surgery, University Hospital of Cologne, Cologne, Germany.
² Department of Pathology, University Hospital of Cologne, Cologne, Germany.

Abstract

A 52-year-old woman presented dyspnea and angina. The computed tomography scan indicated an intramural hematoma, and the patient underwent surgery, during which a structure was excised that was identified as aortic paraganglioma. This case report underlines the importance of a multiprofessional interdisciplinary team to diagnose and treat cardiac masses. (Level of Difficulty: Advanced.).

Keywords: cardiac surgery; cardiac tumors; intramural hematoma; paraganglioma.

Publication types

Case Reports