| Challenging the advanced: cardiac surgery without awareness of a pheochromocytoma. | |
| | |
MedLine Citation:
|
PMID: 17089320 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We report the case of a 75-year-old male patient who underwent bypass surgery. Intraoperatively unstable hemodynamics with excessive arterial blood pressure was observed. This resulted in the tearing of an anastomosis, which subsequently required hemostasis for repeated bleeding. Postoperatively, laboratory findings and diagnostic imaging confirmed the diagnosis made intraoperatively of a pheochromocytoma. Any surgery without awareness of the possibility of a pheochromocytoma will dramatically increase intraoperative and postoperative morbidity and mortality, especially in cardiac surgery. The uncontrolled release of catecholamines raises arterial blood pressure which can become life-threatening and lead to serious intraoperative complications, as well as cerebrovascular and cardiac comorbidity. |
| | |
Authors:
|
T Walker; D H L Bail; E Schmid; L Haeberle; H Kuehne; G Ziemer |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The Thoracic and cardiovascular surgeon Volume: 54 ISSN: 0171-6425 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 2006 Oct |
Date Detail:
|
Created Date: 2006-11-07 Completed Date: 2007-02-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: Germany |
Other Details:
|
Languages: eng Pagination: 498-9 Citation Subset: IM |
Affiliation:
|
Department of Thoracic, Cardiac and Vascular Surgery, Tübingen University, Tübingen, Germany. tobias.walker@med.uni-tuebingen.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Cardiopulmonary Bypass* Coronary Artery Bypass* Coronary Stenosis / complications*, surgery* Humans Hypertension / etiology*, therapy Intraoperative Complications* Male Pheochromocytoma / complications*, diagnosis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Can intrapleural C-reactive protein predict VATS pleurodesis failure?
Next Document: Treatment of an acute type B dissection with an intramural haematoma in the ascending aorta by percu...