Pheochromocytoma induced myocardial ischemia: A case report of rare cardiovascular complications

Pheochromocytomas are uncommon adrenal gland tumors that produce catecholamines, which can lead to various cardiovascular issues, including myocardial ischemia. We report the case of a 23-year-old woman from Bangladesh who sought medical attention because of persistent headaches, abdominal discomfort, and weight loss, ultimately resulting in a diagnosis of pheochromocytoma. She also experienced myocardial ischemia as indicated by ECG alterations and increased levels of cardiac biomarkers. Imaging tests revealed a mass in the right adrenal gland, and biochemical assessments indicated elevated levels of urinary metanephrines, confirming the diagnosis. After laparoscopic adrenalectomy, her cardiovascular symptoms improved, and her blood pressure and urinary metanephrines returned to normal levels. This case highlights the importance of prompt diagnosis and treatment of pheochromocytoma to avert life-threatening complications, such as Takotsubo syndrome. • Pheochromocytoma-induced myocardial ischemia in a young patient. • Early diagnosis and laparoscopic adrenalectomy led to complete symptom resolution. • Importance of considering pheochromocytoma in young patients with refractory hypertension and ischemic ECG changes.