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Coronary Bypass Surgery in the Presence of Metastatic Pheochromocytoma
Author(s) -
Seery Kristen,
Ilsin Burak,
Kulik Alexander
Publication year - 2015
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12533
Subject(s) - medicine , phenoxybenzamine , pheochromocytoma , premedication , phentolamine , artery , hemodynamics , coronary artery bypass surgery , bypass surgery , cardiology , surgery , propranolol
A bstract 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. doi: 10.1111/jocs.12533 (J Card Surg 2015;30:419–420)