Intense Adrenal Enhancement: A CT Feature of Cardiogenic Shock
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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.
KeywordsCardiogenic shock Adrenal glands Computed tomography Intense adrenal enhancement CT angiography
Conflict of interest
Dr. Hrabak-Paar reports grants from Marie Curie FP7-PEOPLE-2011-COFUND program NEWFELPRO, during the conduct of the study.
For this type of study, formal consent is not required.