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Surgical excision of malignant pheochromocytoma in the left atrium

Authors
  • Nonaka, Kenji1, 2
  • Makuuchi, Haruo1
  • Naruse, Yoshihiro1
  • Kobayashi, Toshiya1
  • Goto, Masahiro1
  • 1 Toranomon Hospital, Division of Cardiovascular Surgery, Tokyo, Japan , Tokyo
  • 2 Kyorin University School of Medicine, Department of Cardiovascular Surgery, 6-20-2, Shinkawa, Mitaka City, Tokyo, 181-8611, Japan , Tokyo
Type
Published Article
Journal
The Japanese Journal of Thoracic and Cardiovascular Surgery
Publisher
Springer-Verlag
Publication Date
Feb 01, 2000
Volume
48
Issue
2
Pages
126–128
Identifiers
DOI: 10.1007/BF03218106
Source
Springer Nature
Keywords
License
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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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