Intracardiac paragangliomas: surgical approach and perioperative management.

Guenthart, Brandon A; Trope, Winston; Keeyapaj, Worasak; Weiel, Julianna J; Edmonson, Amanda; MacArthur, John W; Annes, Justin P; Woo, Y Joseph; Lui, Natalie S

Guenthart, Brandon A; Trope, Winston; Keeyapaj, Worasak; Weiel, Julianna J; Edmonson, Amanda; MacArthur, John W; Annes, Justin P; Woo, Y Joseph; Lui, Natalie S.

Afiliação

Guenthart BA; Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building, 300 Pasteur Dr., Stanford, CA, 94305, USA.
Trope W; Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building, 300 Pasteur Dr., Stanford, CA, 94305, USA.
Keeyapaj W; Department of Anesthesiology, Stanford University, Stanford, CA, USA.
Weiel JJ; Department of Pathology, Stanford University, Stanford, CA, USA.
Edmonson A; Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building, 300 Pasteur Dr., Stanford, CA, 94305, USA.
MacArthur JW; Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building, 300 Pasteur Dr., Stanford, CA, 94305, USA.
Annes JP; Department of Medicine and Endocrinology, Stanford University, Stanford, CA, USA.
Woo YJ; Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building, 300 Pasteur Dr., Stanford, CA, 94305, USA.
Lui NS; Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building, 300 Pasteur Dr., Stanford, CA, 94305, USA. natalielui@stanford.edu.

Gen Thorac Cardiovasc Surg ; 69(3): 555-559, 2021 Mar.

Article em En | MEDLINE | ID: mdl-33074472

ABSTRACT

ABSTRACT

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.

Assuntos

Paraganglioma; Veia Cava Superior; Feminino; Humanos; Pessoa de Meia-Idade

Palavras-chave

Cardiac tumor; Intracardiac paraganglioma; Mediastinal mass; SDHC mutation

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Paraganglioma / Veia Cava Superior Limite: Female / Humans / Middle aged Idioma: En Revista: Gen Thorac Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

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