Abstract
We present a rare case of malignant pheochromocytoma in the left atrium and its surgical treatment. The patient was a 39-year-old male who presented a low-grade fever with perspiration. A large tumor was first detected in the left atrium by chest CT, and was confirmed by ultrasonic echo cardiogram and chest MRI. A left adrenal tumor was indicated also by abdominal echography. To prevent the risk of its embolization, surgical excision was performed on a subemergency basis. The patient developed near Shock State on the operative day, presumably due to catecholamine depletion. The preoperative urinary levels of norepinephrine and dopamine were abnormally high. Bilateral adrenal tumors also, confirmed postoperatively by abdominal MRI, were developing rapidly. The pathological examination revealed that the tumor was a pheochromocytoma.
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References
Aravot DJ, Banner NR, Canter AM, Theodoropoulos S, Yacoub MH. Location, localization and surgical treatment of cardiac pheochromocytoma. Am J Cardiol 1992; 15: 283–5.
Besterman E, Bromley LL, Peart WS. An intrapericardial pheochromocytoma. Brit Heart J 1974; 36: 318–20.
Cooley DA, Reardon MJ, Frazier OH, Angelini P. Human cardiac explantation and autotransplantation, application in a patient with a large cardiac pheochromocytoma. Tex Heart Inst J 1985; 12: 171–4.
Gomi T, Ikeda T, Sakurai J, Toya Y, Tani M. Cardiac pheochromocytoma: case report and review of the literature. Jpn Heart J 1994 Jan; 35: 117–24.
Oranger MB, Sisson JC, Glazer G, Shapiro B, Francis I, Behrendt DM, et al. Surgical treatment of cardiac pheochromocytomas. J Thorac Caardiovasc Surg 1985; 89: 753–7.
Anton AH, Sherman BW, Lina AA, and Acheson LS. An atrial pheochromocytoma-induced hypertensive crisis resistant to nitroprusside. Int J Clin Pharma Therapy Toxic 1993; 2: 89–92.
Feldman JM. Phenylethanolamine-N-methyltransferase activity determines the epinephrine concentration of pheochromocytomas. Res Commun Chem Pathol Pharmacol 1981; 34: 389–98.
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Nonaka, K., Makuuchi, H., Naruse, Y. et al. Surgical excision of malignant pheochromocytoma in the left atrium. Jpn J Thorac Caridovasc Surg 48, 126–128 (2000). https://doi.org/10.1007/BF03218106
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DOI: https://doi.org/10.1007/BF03218106