CardioVascular and Interventional Radiology

, Volume 39, Issue 2, pp 296–298 | Cite as

Intense Adrenal Enhancement: A CT Feature of Cardiogenic Shock

  • Maja Hrabak-PaarEmail author
Case Report


In this report, images of intense adrenal enhancement in a 79-year-old female patient with right-sided heart failure and severe tricuspid insufficiency are presented. Only two cases of intense adrenal enhancement as a sign of cardiogenic shock were previously reported in the literature. Intense adrenal enhancement could be one of the earliest CT signs of cardiogenic shock. Its presence should be immediately reported to the referring physician as a sign of significant hemodynamic instability warranting early critical-care management.


Cardiogenic shock Adrenal glands Computed tomography Intense adrenal enhancement CT angiography 



Computed tomography


Conflict of interest

Dr. Hrabak-Paar reports grants from Marie Curie FP7-PEOPLE-2011-COFUND program NEWFELPRO, during the conduct of the study.

Ethical Approval

For this type of study, formal consent is not required.


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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2015

Authors and Affiliations

  1. 1.Department of Diagnostic and Interventional Radiology, University Hospital Center ZagrebUniversity of Zagreb School of MedicineZagrebCroatia

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