Open AccessAnesthetic Management in Anterior Mediastinal Pheochromocytoma Case
Author(s) -
Özgür Yücel
Publication year - 2020
Publication title -
göğüs kalp damar anestezi ve yoğun bakım derneği dergisi
Language(s) - English
Resource type - Journals
ISSN - 1305-5550
DOI - 10.5222/gkdad.2020.80775
Subject(s) - medicine , pheochromocytoma , paraganglioma , thoracotomy , esmolol , anesthesia , mediastinal tumor , mediastinal mass , tachycardia , surgery , remifentanil , mediastinum , radiology , propofol , blood pressure , heart rate
Paraganglioma can be found in different parts of the body. In this case report, a rare case of anterior mediastinal paraganlioma was examined. Pheochromocytoma can pose problems in intraoperative anesthesia management. A 17-year-old male patient with an anterior mediastinal mass was first scheduled for thoracoscopic tumor resection, and then proceeded with open thoracotomy. The patient, who was diagnosed with preoperative pheochromocytoma, had a history of dual antihypertensive drug use. The patient, who showed an intraoperative labile course, had episodes of hypertension (270/140 mmHg) and tachycardia (200 bpm). Esmolol and nitroglycerin infusion was applied and intervened. Diagnosis of paraganglioma-related pheochromocytoma can be challenging. Risks can be minimized by making appropriate decisions and interventions before and during the operation.