PMID- 26466501
OWN - NLM
STAT- MEDLINE
DCOM- 20151214
LR  - 20181202
IS  - 0021-4892 (Print)
IS  - 0021-4892 (Linking)
VI  - 64
IP  - 9
DP  - 2015 Sep
TI  - [A Case of Undiagnosed Extra-adrenal Pheochromocytoma in an Adult Patient with 
      Single Ventricle Circulation after the Bidirectional Glenn Operation].
PG  - 985-8
AB  - We experienced a case of undiagnosed extra-adrenal pheochromocytoma in an adult 
      patient with single ventricle circulation after the bidirectional Glenn 
      operation. A 32-year-old woman was scheduled for open abdominal surgery for 
      incidental retroperitoneal tumor. She had undergone the bidirectional Glenn 
      operation for complex congenital heart disease consisting of double outlet right 
      ventricle, ventricular septal defect, and pulmonary artery stenosis. She had not 
      undergone the Fontan operation because of insufficient development of pulmonary 
      circulation. Her physical status was New York Heart Association (NYHA) functional 
      class II, and her oxygen saturation was 80% in room air. She reported no symptoms 
      for the abdominal tumor preoperatively. The surgery was performed under general 
      and epidural anesthesia. After induction of general anesthesia, she developed 
      hypertension and tachycardia, and the manipulation of the tumor worsened them. 
      Landiolol, a short acting beta blocker, and nicardipine were administrated. After 
      the resection of the tumor, hypotension refractory to volume replacement emerged, 
      and we administrated low dose noradrenaline. She was extubated in'the operating 
      room and was transferred to the intensive care unit. The histopathological 
      examination of the tumor revealed extra-adrenal pheochromocytoma (paraganglioma). 
      Catecholamine release from pheochromocytoma can be dangerous in patients with 
      single ventricular circulation because it may elevate pulmonary resistance and 
      thereby decrease cardiac output. Thorough preoperative examination is desirable.
FAU - Kohno, Masaki
AU  - Kohno M
FAU - Nagamine, Yusuke
AU  - Nagamine Y
FAU - Goto, Takahisa
AU  - Goto T
LA  - jpn
PT  - Case Reports
PT  - Journal Article
PL  - Japan
TA  - Masui
JT  - Masui. The Japanese journal of anesthesiology
JID - 0413707
SB  - IM
MH  - Adrenal Gland Neoplasms/pathology/*surgery
MH  - Adult
MH  - Anesthesia, General
MH  - Assisted Circulation
MH  - Female
MH  - Fontan Procedure
MH  - Humans
MH  - Pheochromocytoma/*surgery
MH  - Tomography, X-Ray Computed
EDAT- 2015/10/16 06:00
MHDA- 2015/12/15 06:00
CRDT- 2015/10/16 06:00
PHST- 2015/10/16 06:00 [entrez]
PHST- 2015/10/16 06:00 [pubmed]
PHST- 2015/12/15 06:00 [medline]
PST - ppublish
SO  - Masui. 2015 Sep;64(9):985-8.