keyword
https://read.qxmd.com/read/36282168/magnesium-and-dexmedetomidine-combination-reduces-sodium-nitroprusside-requirement-in-laparoscopic-pheochromocytoma
#21
JOURNAL ARTICLE
Nükhet Sivrikoz, Özlem Turhan, Hacer Ayşen Yavru, Demet Altun, Yalın Işcan, Ismail Cem Sormaz, Zerrin Sungur
BACKGROUND: Anesthesia management of pheochromocytoma excision surgery is associated with severe hemodynamic fluctuations. The objective of this study is to compare the number of hypertensive crisis requiring sodium nitroprusside (SNP) administration between the groups treated with magnesium (Mg)-dexmedetomidine (Dex) and conventional group in pheochromocytoma. METHODS: This retrospective cohort study included patients who underwent pheochromocytoma surgery between 2011 and 2020...
November 2022: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/36195694/rapid-cyclic-fluctuations-in-blood-pressure-during-two-surgeries-associated-with-pheochromocytoma-a-case-report
#22
JOURNAL ARTICLE
Tomoyuki Watanabe, Hirotsugu Miyoshi, Ryuji Nakamura, Sachiko Otsuki, Noboru Saeki, Yasuo M Tsutsumi
BACKGROUND: We measured catecholamine levels during periodic blood pressure fluctuations in patients with pheochromocytoma. CASE PRESENTATION: A 43-year-old man presented with periodic blood pressure fluctuations during surgery for a renal pelvic tumor. His blood levels of catecholamines (ng/mL) changed dramatically over a short time during blood pressure fluctuations: adrenaline 0.36 to 3.22, noradrenaline 0.47 to 1.98, and dopamine 0.02. After the diagnosis of pheochromocytoma, oral treatment with doxazosin 2 mg/day was administered, and left adrenalectomy was performed 4 months after the initial surgery...
October 5, 2022: JA Clinical Reports
https://read.qxmd.com/read/36172145/incidence-and-risk-factors-for-myocardial-injury-after-laparoscopic-adrenalectomy-for-pheochromocytoma-a-retrospective-cohort-study
#23
JOURNAL ARTICLE
Ling Lan, Qian Shu, Chunhua Yu, Lijian Pei, Yuelun Zhang, Li Xu, Yuguang Huang
BACKGROUND: Pheochromocytoma is a rare catecholamine-secreting tumor. Tumor resection remains a high-risk procedure due to intraoperative hemodynamic instability nowadays, which may lead to myocardial injury. We aimed to determine the incidence and associated risk factors for myocardial injury after laparoscopic adrenalectomy for pheochromocytoma. METHODS: Adult patients (n=350, American Society of Anesthesiology physical status 1-3) who underwent elective laparoscopic adrenalectomy for pheochromocytoma under general anesthesia between January 31, 2013 and January 31, 2020 were included in this observational, retrospective, single-center, cohort study...
2022: Frontiers in Oncology
https://read.qxmd.com/read/35946015/at-the-eye-of-the-hurricane-perioperative-management-of-an-unoptimized-metastatic-pheochromocytoma-presenting-for-emergency-neurosurgery
#24
Sapna Suresh, Ajay Prasad Hrishi, Ganesh Divakar, Manikandan Sethuraman
Metastatic pheochromocytoma (PCC) is a rare entity arising from extra-adrenal tissue. We report the perioperative management of a young woman presenting with metastatic PCC to the vertebral body resulting in vertebral collapse and spinal cord compression necessitating emergency surgery. There are no reports of anesthetic management of a patient with unoptimized metastatic PCC presenting for emergency neurosurgery under general anesthesia. Our anesthetic goals were to maintain a deep anesthetic plane with stable hemodynamics, facilitate intraoperative neuromonitoring, manage catecholamine surges during anesthetic induction, tumor resection, and manage perioperative massive blood loss...
July 2022: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/35931923/hypertensive-attack-induced-by-dexamethasone-during-induction-of-anesthesia-in-a-patient-with-an-adrenal-pheochromocytoma-a-case-report
#25
JOURNAL ARTICLE
Shuichiro Kurita, Yoshinori Kamiya
BACKGROUND: Dexamethasone is used perioperatively as an antiemetic for postoperative nausea and vomiting. Evidence and mechanism linking dexamethasone and hypertensive attack of pheochromocytoma during anesthesia have not been reported. CASE DESCRIPTION: We report a case of a hypertensive attack during anesthetic induction immediately after dexamethasone administration in a 35-year-old woman with adrenal pheochromocytoma. Approximately 2 min after the anesthetic drugs and dexamethasone were administered, her arterial blood pressure suddenly increased from 143/79 to 243/116 mmHg during manual mask ventilation...
August 6, 2022: JA Clinical Reports
https://read.qxmd.com/read/35846296/anesthesia-and-outcome-of-33-surgeries-in-24-multiple-endocrine-neoplasia-type-2a-men2a-patients-a-national-rare-disease-center-s-experience
#26
JOURNAL ARTICLE
Yaohan Li, Di Jin, Le Shen, Yuguang Huang
Background: Multiple endocrine neoplasia type 2A (MEN2A) is a rare syndrome that presents as medullary thyroid carcinoma, pheochromocytoma, and hyperparathyroidism. Experience is lacking in the anesthetic management of patients with this syndrome, particularly in those who present with pheochromocytoma receiving nonpheochromocytoma resection. We aimed to share our experience with the anesthetic management of MEN2A patients. Method: We retrospectively enrolled 24 MEN2A patients who had received different types of surgery at Peking Union Medical College Hospital from January 1, 2015, to December 31, 2021...
2022: Frontiers in Endocrinology
https://read.qxmd.com/read/35820846/anesthetic-management-of-a-giant-paraganglioma-resection-a-case-report
#27
JOURNAL ARTICLE
WeiBing Wang, Hui Zhou, AiJiao Sun, JingBo Xiao, DongShu Wang, DaXiang Huang
BACKGROUND: Patients with pheochromocytomas are often diagnosed with acute myocardial infarction (AMI) due to initial symptoms of palpitations and chest tightness. We describe a case of AMI syndrome where a giant paraganglioma was unexpectedly identified. The anesthetic management of the paraganglioma resection was challenging and complex. CASE PRESENTATION: A 66-year-old woman was admitted to the emergency department for complaints of palpitations, chest tightness and vomiting...
July 11, 2022: BMC Anesthesiology
https://read.qxmd.com/read/35795034/case-report-surgical-intervention-under-pheochromocytoma-multisystem-crisis-timing-and-approach
#28
Shengjun Luo, Qingao Cui, Delin Wang
BACKGROUND: Progressive multiple organ failures still occur in some patients with pheochromocytoma multisystem crisis (PMC) despite α- and β-blockade being used, and emergency adrenalectomy may lead to rapid hemodynamic stabilization and recovery. Therefore, the optimal timing and surgical approach under PMC remain controversial. CASE PRESENTATION: A 50-year-old man presented with persistent chest pain accompanied by vomiting and headache. CT showed a right adrenal mass, and plasma catecholamine levels were significantly elevated...
2022: Frontiers in Oncology
https://read.qxmd.com/read/35775802/perioperative-management-for-functional-ganglioneuroma-in-a-2-year-old-child-with-multiple-congenital-defects-and-covid-19-a-case-report
#29
JOURNAL ARTICLE
Pragadeshwaran Rajendran, Habib Reazaul Karim, Vikramjit Singh, Shruti Bais
Unlike neuroblastoma, ganglioneuroma is a rare entity in children younger than 7 years of age. Further, these tumors are mostly inactive endocrinologically with the symptoms of abdominal pain or palpable mass. Unfortunately, when functional, they mimic or occasionally coexist with pheochromocytoma. While perioperative management of pheochromocytoma has evolved, very little is known regarding the periopera- tive management of functioning ganglioneuroma. Hormone secretion due to surgical manipulation and anaesthesia leads to life-threatening complications...
June 2022: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/35673320/intraoperative-serum-catecholamine-levels-in-a-pregnant-woman-with-pheochromocytoma-undergoing-cesarean-delivery-with-combined-spinal-epidural-anesthesia-a-case-report
#30
Haruna Miyazaki, Daisuke Miura, Yukie Koguchi, Chihiro Takamatsu, Yoshiro Sakaguchi
Pheochromocytoma has a significant effect on perioperative hemodynamics; however, little is known about the changes caused by pheochromocytoma in pregnant women during cesarean delivery. Moreover, cesarean delivery in pregnant women with pheochromocytoma is often performed, along with pheochromocytoma removal, under general anesthesia depending on the time of delivery. Therefore, changes in the hemodynamics of these patients during cesarean delivery under spinal anesthesia combined with epidural anesthesia, along with their serum catecholamine concentration, have not been reported...
May 2022: Curēus
https://read.qxmd.com/read/35659830/transfenestration-doppler-assessment-during-laparoscopic-pheochromocytoma-resection-in-a-patient-with-fontan-circulation
#31
JOURNAL ARTICLE
Masato Hara, Ayako Hyodo, Hiroko Kimura, Teruyuki Hiraki
No abstract text is available yet for this article.
September 2022: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/35534387/anaesthetic-management-of-a-dopamine-secreting-phaeochromocytoma
#32
R López Herrero, R P Rodríguez Jiménez, B Sánchez Quirós
Pheochromocytomas are rare neuroendocrine tumors that arise from chromaffin cells of the adrenal medulla. Most adrenal pheochromocytomas secrete norepinephrine and epinephrine. Dopamine secreting pheochromocytomas are extremely rare and differs from classic pheochromocytomas in clinical features, posing a significant diagnostic challenge. A 41-year-old women presented to our emergency department because of acute flank colic pain and normotension. The screening abdominal computed tomography scan revealed a left adrenal mass...
April 2022: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/35431728/anesthetic-challenges-in-bilateral-pheochromocytoma-with-history-of-percutaneous-transluminal-coronary-angioplasty-ptca-a-case-report-and-literature-review
#33
Anil K Bhiwal, Naveen C Patidar, Aanal S Vyas, Ravina R Bhokan
Pheochromocytoma are catecholamine-producing neuroendocrine tumors that can be adrenal or extra-adrenal (paraganglioma) in origin. The mainstay of definitive therapy is surgical resection, and successful management depends on careful preoperative optimization, meticulous intraoperative and postoperative hemodynamic management.
April 2022: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/35426588/hemorrhage-in-pheochromocytoma-surgery-evaluation-of-preoperative-risk-factors
#34
JOURNAL ARTICLE
Ying Guo, Hai Li, Dingxiang Xie, Lili You, Li Yan, Yanbing Li, Shaoling Zhang
OBJECTIVE: Pheochromocytoma surgery carries a higher risk of hemorrhage. Our objective was to identify preoperative risk factors for hemorrhage during pheochromocytoma surgery. METHODS: Patients who underwent surgery and with postoperative pathological confirmation were enrolled. A total of 251 patients from our center were included in the investigation, and 120 patients from the First Affiliated Hospital, Sun Yat-sen University were included as an external validation dataset...
April 15, 2022: Endocrine
https://read.qxmd.com/read/35141905/short-and-long-term-survival-after-adrenalectomy-in-53-dogs-with-pheochromocytomas-with-or-without-alpha-blocker-therapy
#35
JOURNAL ARTICLE
Dory Enright, Vanna M Dickerson, Janet A Grimes, Sarah Townsend, Kelley M Thieman Mankin
OBJECTIVE: To report data related to the short- and long-term survival of dogs undergoing adrenalectomy for pheochromocytoma, and to determine the influence of preoperative alpha-blocker therapy. STUDY DESIGN: Retrospective. ANIMALS: Fifty-three dogs. METHODS: Medical records were reviewed for dogs diagnosed with pheochromocytoma and treated with adrenalectomy between 2010 and 2020. Preoperative management, imaging studies, intraoperative cardiovascular instability, complications, and procedural information were recorded...
April 2022: Veterinary Surgery
https://read.qxmd.com/read/35001223/the-association-between-the-type-of-anesthesia-and-hemodynamic-instability-during-pheochromocytoma-surgery-a-retrospective-cohort-study
#36
JOURNAL ARTICLE
Won Woong Kim, Doo-Hwan Kim, Jae Won Cho, Cheong-Sil Rah, Yu-Mi Lee, Ki-Wook Chung, Jung-Min Koh, Seung Hun Lee, Suck Joon Hong, Yeon Ju Kim, Tae-Yon Sung
BACKGROUND: Pheochromocytoma often carries a risk for perioperative hemodynamic instability (HDI). The aim of this study is to evaluate the risk factors of intraoperative HDI during minimally invasive posterior retroperitoneal adrenalectomy (PRA) for pheochromocytoma. MATERIALS AND METHODS: This retrospective study analyzed the prospectively collected data of 172 patients who underwent laparoscopic PRA or robotic PRA for pheochromocytoma between January 2014 and December 2020 at a single tertiary center...
July 2022: Surgical Endoscopy
https://read.qxmd.com/read/34352621/retroperitoneal-pheochromocytoma-unsual-presentation-and-atypical-location
#37
JOURNAL ARTICLE
Carlos Eduardo Rey Chaves, Daniela Ayala, Gabriel García, Danny Conde Monroy, Juan Carlos Sabogal Olarte
INTRODUCTION AND IMPORTANCE: Pheochromocytomas are rare tumors (0.1-2% of incidence), arising from the chromaffin cells in the sympathoadrenal system. Approximately 85% of the times are localized in the adrenal medulla; therefore, could be placed extra adrenal in 15% of the population. 10-30% of the cases could be asymptomatic. Classic symptoms vary from palpitations, tachycardia, hypertension. CASE PRESENTATION: Case report of a 37-year-old female patient presented with diffuse abdominal pain, with any associated symptoms...
August 2021: International Journal of Surgery Case Reports
https://read.qxmd.com/read/34117557/perioperative-management-of-a-patient-undergoing-resection-of-interleukin-6-producing-pheochromocytoma
#38
JOURNAL ARTICLE
Masahiro Kuroki, Hiroto Suzuki, Misato Kurota, Masaki Nakane, Kaneyuki Kawamae
BACKGROUND: Pheochromocytomas produce hormones, cytokines, and catecholamines. We report perioperative anesthetic management of a rare interleukin-6 (IL-6)-producing pheochromocytoma. CASE PRESENTATION: A 32-year-old female was scheduled for laparoscopic adrenalectomy for pheochromocytoma. She had a sustained high fever with elevated serum noradrenaline and IL-6 levels. The persistent high inflammatory state, followed by anemia, malnutrition, and coagulopathy, led us to prepone her date of surgery...
June 11, 2021: JA Clinical Reports
https://read.qxmd.com/read/34046474/anesthetic-management-of-bilateral-pheochromocytoma-resection-in-von-hippel-lindau-syndrome-a-case-report
#39
Lu Wang, Yi Feng, Lu-Yang Jiang
BACKGROUND: Von Hippel-Lindau disease (also known as VHL syndrome), is an autosomal dominant inherited disease. We describe a sporadic case of VHL syndrome where bilateral pheochromocytomas were unexpectedly identified. The patient underwent selective laparoscopic resections of the pheochromocytomas, and the anesthetic management during surgery was complex and challenging. CASE SUMMARY: A 22-year-old man presented to our hospital to seek medical advice for infertility without any other complaints...
May 26, 2021: World Journal of Clinical Cases
https://read.qxmd.com/read/34032675/pheochromocytoma-and-paraganglioma-and-choice-of-perioperative-%C3%AE-blockade
#40
COMMENT
Roman Schumann, Harald Thomas Groeben
No abstract text is available yet for this article.
June 1, 2021: Anesthesia and Analgesia
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