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Emergency aortic valve replacement complicated by unmanaged pheochromocytoma
Author(s) -
Tamaki Rihito,
Yamasaki Manabu,
Nishi Hiroyuki,
Yoshino Kunihiko,
Abe Kohei,
Misumi Hiroyasu
Publication year - 2021
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.15736
Subject(s) - medicine , phentolamine , pheochromocytoma , blood pressure , hypertensive crisis , aortic valve replacement , surgery , emergency surgery , anesthesia , cardiology , propranolol , stenosis
A 53‐year‐old male undergoing emergency aortic valve replacement for infective endocarditis developed a hypertensive crisis early during the operation. Suspecting a pheochromocytoma, intravenous phentolamine was immediately administered, after which the procedure was completed as scheduled. Although quite rare, a pheochromocytoma can be encountered during emergency open heart surgery; thus, early recognition of abnormal blood pressure change and appropriate management are important. Here, we present details of blood pressure control mainly by use of phentolamine, in this case, to demonstrate effective management of a hypertensive crisis during emergency cardiac surgery because of a pheochromocytoma.