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Keywords coronary artery bypass graft p...

coronary artery bypass graft pheochromocytoma

https://read.qxmd.com/read/36745744/isolated-cardiac-paraganglioma-encasing-right-coronary-artery-with-evidence-of-succinyl-dehydrogenase-gene-mutation-successful-management-using-multimodality-imaging
#1
JOURNAL ARTICLE
Naveen Garg, Shashank Pandey, Shiva Madan, Subhash Yadav, Gurango Majumdar, Neeraj Jain, Manoj Jain
This report involves a young woman with isolated cardiac paraganglioma that was diagnosed using 68Gallium-labeled [1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid]-1-NaI3-octreotide positron emission tomographic scintigraphy. For the preoperative evaluation, multimodality imaging accurately described the anatomic location of the tumor and its relationship with the surrounding tissues. The patient underwent successful surgical resection of the tumor along with right coronary artery bypass grafting. The 2-month follow-up scintigraphy was normal...
January 1, 2023: Texas Heart Institute Journal
https://read.qxmd.com/read/34472038/the-current-role-of-clevidipine-in-the-management-of-hypertension
#2
REVIEW
Bo Xu, Zhen Chen, Gaorui Tang
Acute hypertension, which may damage blood vessels, causes irreversible organ damage to the vasculature, central nervous system, kidney, and heart. Clevidipine, the first third-generation calcium channel antagonist approved by the Food and Drug Administration (FDA) in the past 20 years, is an ultra-short-acting calcium channel blocker that inhibits L-type calcium channels with high clearance and low distribution, can be rapidly metabolized into the corresponding inactive acid, and is rapidly hydrolyzed into inactive metabolites by esterase in arterial blood...
March 2022: American Journal of Cardiovascular Drugs: Drugs, Devices, and Other Interventions
https://read.qxmd.com/read/30052223/the-unexpected-diagnosis-of-phaeochromocytoma-in-the-anaesthetic-room
#3
Louise Kenny, Victoria Rizzo, Jason Trevis, Elena Assimakopoulou, Dierdre Timon
A 77-year-old man was admitted for aortic valve replacement and combined coronary bypass grafting. Grossly, labile arterial pressures were demonstrated on anesthetic induction prompting cancellation and Intensive Care Unit transfer. Urine analysis identified high normetadrenaline/creatinine ratio, plasma metanephrine, and plasma normetanephrine. A left adrenal lesion on computed tomography scan collectively indicated pheochromocytoma. Laparoscopic adrenalectomy was prioritized at multidisciplinary team before cardiac surgery...
July 2018: Annals of Cardiac Anaesthesia
https://read.qxmd.com/read/27699857/phaeochromocytoma-presenting-with-labile-blood-pressures-following-coronary-artery-bypass-grafting
#4
JOURNAL ARTICLE
James Roy, Zakir Akhunji, Virag Kushwaha, James Mackie, Nigel Jepson
Pheochromocytomas have been reported prior to and during coronary artery bypass surgery. We present a patient with an undiagnosed pheochromocytoma who presented with labile hypertension following coronary artery bypass surgery. This case calls attention to the inclusion of an undiagnosed pheochromocytoma in the differential diagnosis for all patients who develop labile hypertension in the postoperative period following cardiac surgery.
December 2016: Journal of Cardiac Surgery
https://read.qxmd.com/read/25756842/coronary-bypass-surgery-in-the-presence-of-metastatic-pheochromocytoma
#5
JOURNAL ARTICLE
Kristen Seery, Burak Ilsin, Alexander Kulik
The hemodynamic management of a patient with a pheochromocytoma presents special challenges due to the episodic release of catecholamines from the tumor, which threatens to provoke a hypertensive crisis. We present a patient with metastatic pheochromocytoma (bone, lung, lymph nodes) who underwent successful coronary artery bypass graft (CABG) surgery following premedication with phenoxybenzamine and metyrosine as well as the use of intraoperative phentolamine for the management of a hypertensive crisis in the operating room...
May 2015: Journal of Cardiac Surgery
https://read.qxmd.com/read/22517556/high-incidence-of-cardiovascular-complications-in-pheochromocytoma
#6
JOURNAL ARTICLE
T Zelinka, O Petrák, H Turková, R Holaj, B Strauch, M Kršek, A B Vránková, Z Musil, J Dušková, J Kubinyi, D Michalský, K Novák, J Widimský
Excess of catecholamines in pheochromocytoma is usually accompanied with classical symptoms and signs. In some cases, severe cardiovascular complications (e. g., heart failure, myocardial infarction) may occur. We performed a retrospective analysis focused on the incidence of cardiovascular complications (classified as follows: arrhythmias, myocardial involvement or ischemia and atherosclerosis, cerebrovascular impairment) before the establishment of diagnosis of pheochromocytoma among 145 subjects treated in our hospital...
May 2012: Hormone and Metabolic Research
https://read.qxmd.com/read/22437464/advantages-of-sutureless-aortic-valve-in-a-patient-with-unsuspected-pheochromocytoma
#7
JOURNAL ARTICLE
Jia-Lin Soon, Fiona A M Gibson, Shirley Janas, Ravi Pillai
We describe a 60-year-old man who underwent elective aortic valve replacement and concurrent single graft coronary artery bypass surgery with acute intraoperative hypertension. The early suspicion of a pheochromocytoma and immediate aggressive pharmacologic intervention are discussed. Expeditious surgery contributed to the good outcome. It is possible that the short implant time of the sutureless valve may have been beneficial, but this is speculative. The management of an undiagnosed pheochromocytoma presenting during general anesthesia is reviewed...
July 2010: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/21950043/-anesthetic-management-of-cardiac-pheochromocytoma-resection-and-coronary-artery-bypass-grafting-under-cardiopulmonary-bypass
#8
JOURNAL ARTICLE
Asaka Watanabe, Yusuke Sugasawa, Maho Kakemizu, Kazuyoshi Aoyama, Toshimasa Akazawa, Eiichi Inada
We experienced pheochromocytoma resection and coronary artery bypass grafting under cardiopulmonary bypass (CPB). The patient was a 69-year-old man who was first diagnosed with atherosclerotic angina. During operation, his blood pressure increased at induction and manipulation of the tumor under CPB, associated with an increased serum noradrenaline concentration. Starting operation, we monitored using transesophageal echocardiography (TEE), and used that view for diagnosis and anesthetic or hemodynamic management...
September 2011: Masui. the Japanese Journal of Anesthesiology
https://read.qxmd.com/read/19559246/surgical-treatment-of-cardiac-pheochromocytoma-a-case-report
#9
JOURNAL ARTICLE
Jian Zhou, Hai-Tao Chen, Jie Xiang, Xiao-Hong Qu, Yao-Quan Zhou, Wang-Fu Zang
Primary cardiac pheochromocytoma is an extremely rare neoplasm. We report a 15-year-old girl who was presented with paroxysmal hypertension. An iodine-131 metaiodobenzylguanidine scintigraphy scanning showed a pheochromocytoma in her right atrial and ventricular wall. The tumor was subsequently confirmed by magnetic resonance imaging and coronary angiogram. This patient underwent a successful surgical resection of the tumor, a reconstruction of the atrial ventricular wall and right coronary artery bypass grafting...
July 2009: Annals of Thoracic Surgery
https://read.qxmd.com/read/18637609/anesthesia-management-of-a-jehovah-s-witness-patient-with-pheochromocytoma-undergoing-off-pump-coronary-artery-bypass-graft-surgery-acase-report
#10
JOURNAL ARTICLE
Roland N Kaddoum, Joe Yu, Hong Wang, Elie J Chidiac
Concomitant coronary artery disease (CAD) and pheochromocytoma are rare. Patients with advanced CAD requiring coronary artery bypass graft (CABG) surgery and clinically active pheochromocytoma present a challenge to anesthesiologists. The risk is much higher if the patient is an anemic Jehovah's Witness because these patients refuse to receive blood or blood products, even when faced with a life-threatening hemorrhage. To our knowledge, this is the first case to describe the anesthetic management of an anemic Jehovah's Witness patient with pheochromocytoma presenting for off-pump CABG surgery...
June 2008: Middle East Journal of Anesthesiology
https://read.qxmd.com/read/18008120/anesthetic-management-of-simultaneous-coronary-artery-bypass-grafting-and-cardiac-pheochromocytoma-resection-under-cardiopulmonary-bypass
#11
JOURNAL ARTICLE
Yuko Kojima, Hiroto Kitahara, Hikaru Kimura, Toshitsugu Nakamura, Hiroaki Ina, Shigeru Yokota
We experienced simultaneous coronary artery bypass grafting and cardiac pheochromocytoma resection under cardiopulmonary bypass in a 79-year-old woman with atherosclerotic angina. During manipulation of the tumor under cardiopulmonary bypass, the serum norepinephrine concentration increased to over seventy times the normal limit, and there was a 25-mmHg rise in mean arterial pressure. Cardiopulmonary bypass has been recommended for the resection of cardiac pheochromocytoma to isolate the heart from the systemic circulation, and thus prevent massive catecholamine release when handling the tumor...
2007: Journal of Anesthesia
https://read.qxmd.com/read/17567351/combined-coronary-artery-bypass-grafting-and-phaeochromocytoma-excision
#12
JOURNAL ARTICLE
A C Y To, C Frost, A B Grey, M S Croxson, J Cooper
We report two patients who had successful combined coronary artery bypass grafting and excision of phaeochromocytoma. These cases represent the first reports of combined coronary artery bypass grafting and laparoscopic adrenalectomy for phaeochromocytoma and of combined coronary artery bypass grafting and excision of extra-adrenal phaeochromocytoma. With careful peri- and intra-operative management, especially in regard to haemostasis, combined operations for coronary artery disease and phaeochromocytoma are both feasible and safe...
July 2007: Anaesthesia
https://read.qxmd.com/read/17315738/-anesthetic-management-for-off-pump-coronary-artery-bypass-grafting-in-a-patient-with-a-pheochromocytoma-and-followed-by-the-resection-of-the-pheochromocytoma
#13
JOURNAL ARTICLE
Eita Okuno, Manabu Kakinohana, Yuji Miyata, Kazuhiro Sugahara
We successfully treated a 61-year-old woman with a pheochromocytoma and angina. We administered doxizosin mesilate for a month to achieve a good control of blood pressure and CABG was followed without any problems. After 3 months, pheochromocytoma was resected. There were no cardiac ischemia during both operations. We believe that it is very important to control blood pressure and to determine which operation, CABG or the pheochromocytoma resection, should be performed first, in these cases.
February 2007: Masui. the Japanese Journal of Anesthesiology
https://read.qxmd.com/read/17165315/hypertensive-crisis-during-coronary-artery-bypass-graft-surgery-a-case-of-unsuspected-pheochromocytoma
#14
JOURNAL ARTICLE
S Shimosato, J G Carter, D H Brom, L F Hiratzka
No abstract text is available yet for this article.
August 1987: Journal of Cardiothoracic Anesthesia
https://read.qxmd.com/read/15558925/pheochromocytoma-and-myocardial-infarction
#15
REVIEW
Anuj Garg, Peter F Banitt
Pheochromocytomas are rare chromaffin cell tumors, 90% of which arise from the adrenal glands. Pheochromocytomas presenting with true myocardial infarction are even more rare. We report a 76-year-old man who had a previously undiagnosed pheochromocytoma, and presented with the uncommon complication of myocardial infarction. Our high-risk patient was managed with the combination of simultaneous coronary artery bypass grafting and adrenalectomy.
October 2004: Southern Medical Journal
https://read.qxmd.com/read/15113868/urinary-catecholamines-and-metabolites-in-the-immediate-postoperative-period-following-major-surgery
#16
JOURNAL ARTICLE
A A Syed, H A Wheatley, M N Badminton, I F W McDowell
BACKGROUND: Induction of anaesthesia can precipitate catecholamine release from an undiscovered pheochromocytoma and induce a hypertensive crisis. However, it is assumed that catecholamine and metabolite values resulting from the effects of surgery per se in the early postoperative period would overlap with the values generated by a tumour, and it is not known how soon after biochemical investigations can be carried out. AIM: To study patterns of urinary catecholamine excretion and the feasibility of biochemical screening for phaeochromocytomas in the immediate postoperative period in otherwise healthy subjects undergoing a single type of major surgical procedure...
May 2004: Journal of Clinical Pathology
https://read.qxmd.com/read/12904201/successful-off-pump-coronary-artery-bypass-grafting-in-a-patient-with-an-undiagnosed-pheochromocytoma
#17
JOURNAL ARTICLE
U Sartipy, G Lindvall, J Van Der Linden, G Dellgren
We report a successful off pump coronary artery bypass case in a patient with a pre-operatively undiagnosed pheochromocytoma. The patient had no signs of ischemia intra- or post-operatively due to aggressive antihypertensive treatment. We would also like to emphasize the importance of using an adequate stabilizing device in order to safely perform anastomoses in a situation like this.
September 2003: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/12073208/excision-of-adrenal-pheochromocytoma-and-coronary-artery-bypass-graft-surgery-with-cardiopulmonary-bypass
#18
JOURNAL ARTICLE
Valérie Balabaud-Pichon, Pierre Bopp, François Levy, Jean Claude Thiranos, Annick Steib
No abstract text is available yet for this article.
June 2002: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/11789820/concomitant-off-pump-myocardial-revascularization-and-pheochromocytoma-resection
#19
JOURNAL ARTICLE
P Kumar, N Walcot, R Carpenter, R Uppal
Surgical management of patients with coexisting ischemic heart disease and pheochromocytoma remains challenging. We present one such case in which hybrid myocardial revascularization (angioplasty with stenting and off-pump coronary artery bypass grafting) and resection of pheochromocytoma were undertaken. Unusual features included simultaneous coronary artery surgery and tumor resection and, in particular, coronary artery surgery being performed without cardiopulmonary bypass.
December 2001: Annals of Thoracic Surgery
https://read.qxmd.com/read/11380501/cardiac-phaeochromocytoma-presenting-with-severe-hypertension-and-chest-pain
#20
JOURNAL ARTICLE
A M Sawka, W F Young, H V Schaff
Cardiac phaeochromocytoma is a rare cause of endocrine hypertension. We report a case of a 25-year-old woman, who presented with severe hypertension and intermittent chest pain. The patient denied typical phaeochromocytoma spells of palpitation, headache, and diaphoresis. The 24-hr urinary excretion of norepinephrine was increased sevenfold above the upper limit of normal; however, the excretion of total metanephrines, epinephrine, and dopamine were normal. Computed tomography (CT) scan of the abdomen was normal...
May 2001: Clinical Endocrinology
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