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Intracardiac paragangliomas: surgical approach and perioperative management

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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.

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Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Stanford University Medical Center, Falk Building, 300 Pasteur Dr., Stanford, CA, 94305, USA

    Brandon A. Guenthart, Winston Trope, Amanda Edmonson, John W. MacArthur, Y. Joseph Woo & Natalie S. Lui

  2. Department of Anesthesiology, Stanford University, Stanford, CA, USA

    Worasak Keeyapaj

  3. Department of Pathology, Stanford University, Stanford, CA, USA

    Julianna J. Weiel

  4. Department of Medicine and Endocrinology, Stanford University, Stanford, CA, USA

    Justin P. Annes

Authors
  1. Brandon A. Guenthart
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  2. Winston Trope
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  3. Worasak Keeyapaj
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  4. Julianna J. Weiel
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  5. Amanda Edmonson
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  6. John W. MacArthur
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  7. Justin P. Annes
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  8. Y. Joseph Woo
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  9. Natalie S. Lui
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Corresponding author

Correspondence to Natalie S. Lui.

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The authors have no conflicts of interest related to the subject matter.

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The study has been approved by the Ethical Committee of our institution.

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Supplementary Video 1 Case details including workup, surgical approach, and techniques presented in a female patient with an intracardiac paraganglioma (MP4 185357 kb)

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Guenthart, B.A., Trope, W., Keeyapaj, W. et al. Intracardiac paragangliomas: surgical approach and perioperative management. Gen Thorac Cardiovasc Surg 69, 555–559 (2021). https://doi.org/10.1007/s11748-020-01503-2

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  • DOI: https://doi.org/10.1007/s11748-020-01503-2

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