• Batool Wael Alnahar, Bushray Almiqlash, Hala Hassanain, Ebtesam Al-Najjar, Abdullah Esmail, Asma Zainab, and Iqbal Ratnani.
• Division of Cardiovascular ICU, Department of Critical Care Medicine, Houston Methodist Hospital, Houston, TX 77030, USA.
• Medicina (Kaunas). 2024 Sep 13; 60 (9).

AbstractParagangliomas are rare extra-adrenal neuroendocrine tumors originating from chromaffin tissue that present a diagnostic and therapeutic challenge due to their diverse clinical manifestations and low incidence. While these tumors often manifest as catecholamine-secreting functional tumors, their clinical presentation can vary, leading to delayed diagnosis and challenging management. This study presents the case of a 22-year-old patient with cardiac paraganglioma who initially presented with angina-like symptoms, highlighting the importance of considering this rare condition in young individuals with nonspecific complaints. Diagnostic imaging, including transthoracic echocardiography, CT angiography, and MRI, played a crucial role in identifying the tumor's location and vascularization. Surgical excision, including pulmonary artery graft and CABG, was the primary management approach, which was accompanied by intraoperative complications that later led to CCU admission, followed by postoperative complications, ultimately leading to the patient's death. This case highlights the significance of early recognition and management of complications following a surgical approach to treat paragangliomas.

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