• Masui · Sep 2011

    Case Reports

    [Anesthetic management of cardiac pheochromocytoma resection and coronary artery bypass grafting under cardiopulmonary bypass].

    • Asaka Watanabe, Yusuke Sugasawa, Maho Kakemizu, Kazuyoshi Aoyama, Toshimasa Akazawa, and Eiichi Inada.
    • Department of Anesthesiology, Juntendo University School of Medicine, Tokyo 113-8431.
    • Masui. 2011 Sep 1;60(9):1086-9.

    AbstractWe 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. It was especially useful after tumor resection. Surgical and hemodynamic management was facilitated by TEE. TEE was useful to make a diagnosis of cardiac pheochromocytoma, to determine the area of resection, to determine the surgical repair, and to make a decision of hemodynamic management in this complicated patient. We suggest that perfoming these cases under CPB and TEE is recommended for stabilization of hemodynamic states.

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