Anesthetic Management of Combined Cesarean Section and Excision of Pheochromocytoma

Burgess, George E.; Cooper, John R.; Marino, Robert J.; Peuler, Martin J.

doi:10.1213/00000539-197803000-00024

Cited by 17 publications

(7 citation statements)

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“…Rarely, cardiac involvement may occur due to the direct impact of excess catecholamines secreted by the tumor. A review of the literature revealed seven cases of pheochromocytoma and congestive heart failure in pregnant women 1–7 . In patients with pheochromocytoma presenting with acute heart failure, the prognosis can be very poor because of extensive focal myocardial damage.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, there have been reported cases of pheochromocytoma and congestive heart failure in pregnant women. Cardiomyopathy during the intrapartum period, 2 after vaginal delivery 1,3–5 and after cesarean delivery, 6 as well as myocardial infarction 7 have been reported; however, no report has addressed pheochromocytoma‐related cardiomyopathy in pregnant women during the antepartum period. We report a rare case of pheochromocytoma‐related cardiomyopathy during the preterm antepartum period.…”

Section: Introductionmentioning

confidence: 99%

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Pheochromocytoma‐related cardiomyopathy during the antepartum period in a preterm pregnant woman

Nakajima

Masaoka

Sodeyama

et al. 2011

J of Obstet and Gynaecol

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We report a rare case of pheochromocytoma-related cardiomyopathy during the preterm period. The patient was a 33-year-old woman who was referred to our hospital at 34 weeks' gestation. Her pulse was 130 beats/min, blood pressure of 186/90 mmHg and oxygen saturation was 30-40%. Fetal bradycardia prompted an emergency cesarean section and, nine minutes after admission, a boy weighing 2774 g was delivered with Apgar scores of 2 at 1 min and 5 at 5 min. A preoperative echocardiogram showed reduced fractional shortening of 19%. At 8 h after the operation, cardiac arrest developed. An intra-aortic balloon pump and percutaneous cardiopulmonary support were inserted, and continuous hemodiafiltration was also commenced, after which her cardiac function and respiratory function gradually improved. Urinary catecholamine levels were elevated and abdominal computerized tomography confirmed the presence of a right suprarenal mass. Four months after delivery, she underwent a laparoscopic adrenalectomy and the mass was found to be a pheochromocytoma.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pheochromocytoma‐related cardiomyopathy during the antepartum period in a preterm pregnant woman

Nakajima

Masaoka

Sodeyama

et al. 2011

J of Obstet and Gynaecol

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“…Anesthetic management for cesarean section, followed by removal of pheochromocytoma, has recently been reported in the last quarter of the 20th century [1][2][3][4][5][6][7][8][9]. We reviewed these cases from the view of perioperative antihypertensive treatment (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…The use of several preoperative antihypertensive drugs before general anesthesia as the morning dose has been reported. Short-acting a-blocking drugs (eg, phentolamine, prazosin) [2,4], b-blocking drugs (eg, atenolol, propranolol) [3,8], and both a-and b-blocking drugs (eg, labetalol) [5] have all been reported. Burgess et al [2] reported their preoperative and intraoperative infusion of phentolamine and their successful BP management.…”

Section: Discussionmentioning

confidence: 99%

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Cesarean section at 28 weeks' gestation with resection of pheochromocytoma: perioperative antihypertensive management

Kariya

Nishi

Hosono

et al. 2005

Journal of Clinical Anesthesia

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Current Surgical Management of Pheochromocytoma During Pregnancy

Fudge¹,

McKinnon²,

Geary³

1980

Arch Surg

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REGULACIJA KRVNOG TLAKA U BOLESNIKA NA DIJALIZI REGULATION OF BLOOD PRESSURE IN DIALYZED PATIENTS PETAR KES, NIKOLINA BA[I]-JUKI], IVANA JURI], BRUNA BRUNETTA* Deskriptori: Hipertenzija -etiologija, patofiziologija, lije~enje; Kroni~na bolest bubrega -lije~enje, komplikacije;Hemodijaliza -ne`eljeni u~inci Sa`etak. Do 90% bolesnika na hemodijalizi (HD) ima krvni tlak vi{i od 140/90 mmHg, {to donosi rizik od razvoja sr~ano`ilnih bolesti i visoku smrtnost. Cilj lije~enja hipertenzije u HD bolesnika je normaliziranje krvnog tlaka. Najva`niju ulogu u regulaciji krvnog tlaka kod bolesnika na HD ima regulacija volumena teku}ina, ali nisu zanemarivi ni drugi~imbenici kao {to su aktivacija simpati~kog`iv~anog sustava i poreme}ena vazodilatacija s posljedi~nim promjenama`ilnog otpora, sekundarni hiperparatiroidizam i njegovi u~inci na ravnote`u kalcija i kontraktilnost glatkih mi{i}nih stanica krvnih`ila, korekcija bubre`ne anemije primjenom eritropoetina, regulacija unosa soli, u~estalost i trajanje postupaka hemodijalize. Za

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Anesthetic Management of Combined Cesarean Section and Excision of Pheochromocytoma

Cited by 17 publications

References 0 publications

Pheochromocytoma‐related cardiomyopathy during the antepartum period in a preterm pregnant woman

Pheochromocytoma‐related cardiomyopathy during the antepartum period in a preterm pregnant woman

Cesarean section at 28 weeks' gestation with resection of pheochromocytoma: perioperative antihypertensive management

Current Surgical Management of Pheochromocytoma During Pregnancy

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