Open AccessIntracardiac paragangliomas: surgical approach and perioperative management
Author(s) -
Brandon A. Guenthart,
Winston Trope,
Worasak Keeyapaj,
Julianna J Weiel,
Amanda Edmonson,
John W. MacArthur,
Justin P. Annes,
Y. Joseph Woo,
Natalie S. Lui
Publication year - 2020
Publication title -
general thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
eISSN - 1863-6713
pISSN - 1863-6705
DOI - 10.1007/s11748-020-01503-2
Subject(s) - intracardiac injection , medicine , paraganglioma , perioperative , surgical resection , radiology , left atrium , surgery , general surgery , atrial fibrillation
Intracardiac paragangliomas most commonly arise from the left atrium and are often infiltrative and densely adherent to surrounding structures. Given their rarity, only scattered reports exist in the literature and standardized perioperative and surgical management is not well established. We describe a case of a 60-year-old woman with a mildly functioning intracardiac paraganglioma in which division of the superior vena cava improved exposure and enabled a complex limited resection. Further, we provide an overview of the diagnostic workup, perioperative medical management, surgical approach, and surveillance strategy in patients with these challenging tumors.