Case 46-1988

Presentation of CaseA 59-year-old man was admitted to the hospital because of a right adrenal mass.There was a long history of obesity, hypertension, and angina pectoris, with the more recent development of diabetes mellitus. A coronary-artery bypass graft was performed 11 years before entry and was revised 4 years later. Thereafter the patient was free of angina until seven months before admission, when angina pectoris recurred and was accompanied by dyspnea, which occurred mainly during the night, often waking him from sleep, and also occurred when he became emotionally upset. The attacks responded at times to sitting up . . .