Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology.

Suffredini, Giancarlo; Diaz-Rodriguez, Natalia; Chakravarthy, Krishnan; Mathur, Aarti; Hayanga, Heather K; Frank, Steve M; Ringel, Richard E; Freiberg, Stephen; Barodka, Viachaslau M; Steppan, Jochen.

Afiliación

Suffredini G; Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine.
Diaz-Rodriguez N; Anesthesia and Critical Care Medicine, The Johns Hopkins University School of Medicine.
Chakravarthy K; Department of Anesthesia, Critical Care and Pain Medicine, University of California, San Diego.
Mathur A; Surgery, The Johns Hopkins University School of Medicine.
Hayanga HK; Department of Anesthesiology, West Virginia University School of Medicine.
Frank SM; Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine.
Ringel RE; Pediatrics, The Johns Hopkins University School of Medicine.
Freiberg S; Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine.
Barodka VM; Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine.
Steppan J; Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine.

Cureus ; 9(12): e1928, 2017 Dec 08.

Article en En | MEDLINE | ID: mdl-29464136

ABSTRACT

Survival rates for patients with palliated congenital heart disease are increasing, and an increasing number of adults with cyanotic congenital heart disease (CCHD) might require surgical resection of pheochromocytoma-paraganglioma (PHEO-PGL). A recent study supports the idea that patients with a history of CCHD and current or historical cyanosis might be at increased risk for developing PHEO-PGL. We review the anesthetic management of two adults with single-ventricle physiology following Fontan palliation presenting for PHEO-PGL resection and review prior published case reports. We found the use of epidural analgesia to be safe and effective in the operative and postoperative management of our patients.

Palabras clave

fontan; neuraxial; pheochromocytoma; single ventricle