HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Orringer, M. B. Articles by Lloyd, R. V. Search for Related Content PubMed PubMed Citation Articles by Orringer, M. B. Articles by Lloyd, R. V.

The Journal of Thoracic and Cardiovascular Surgery, Vol 89, 753-757, Copyright © 1985 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Surgical treatment of cardiac pheochromocytomas

MB Orringer, JC Sisson, G Glazer, B Shapiro, I Francis, DM Behrendt, NW Thompson and RV Lloyd

The development at our institution of the radiopharmaceutical 131-I- metaiodobenzylguanidine has permitted for the first time scintigraphic localization of pheochromocytomas. By the use of this scan in combination with contrast-enhanced computed tomography, intrapericardial pheochromocytomas have been demonstrated in eight patients at our hospital during the past 2 years. Four of these patients have been operated upon by us, and each was found to have a pheochromocytoma arising from the heart (left atrium in three and interventricular groove at the aortic root in one). While in one patient it was possible to "shell" the tumor away from the left atrial wall without cardiopulmonary bypass, in the remaining patients, bypass and cardioplegia were required to resect the pheochromocytomas without inducing life-threatening intraoperative hypertension and cardiac arrhythmias. One patient required coronary artery reconstruction and two, excision of the posterior left atrial wall with pericardial replacement. One of these latter two patients died intraoperatively of uncontrollable hemorrhage. The three remaining patients are well and normotensive after more than 1 year of follow-up. Cardiac pheochromocytomas should not be approached as typical posterior mediastinal tumors, or as they are in the abdomen, with the expectation that they will "shell away" from contiguous structures. Cardiopulmonary bypass should be available, and resection of involved myocardium may be necessary for complete removal.

This article has been cited by other articles:

				M. L. Brown, G. E. Zayas, M. D. Abel, W. F. Young Jr, and H. V. Schaff Mediastinal Paragangliomas: The Mayo Clinic Experience Ann. Thorac. Surg., September 1, 2008; 86(3): 946 - 951. [Abstract] [Full Text] [PDF]

				R. Kennelly, R. Aziz, M. Toner, and V. Young Right atrial paraganglioma: an unusual primary cardiac tumour Eur. J. Cardiothorac. Surg., June 1, 2008; 33(6): 1150 - 1152. [Abstract] [Full Text] [PDF]

				J.-C. M. Walkes, W. R. Smythe, and M. J. Reardon Cardiac Neoplasms Card. Surg. Adult, January 1, 2008; 3(2008): 1479 - 1510. [Full Text]

				S. Yendamuri, M. Elfar, J.-C. Walkes, and M. J. Reardon Aortic paraganglioma requiring resection and replacement of the aortic root Interactive CardioVascular and Thoracic Surgery, December 1, 2007; 6(6): 830 - 831. [Abstract] [Full Text] [PDF]

				A. M. Ali, M. Devbhandari, A. Sastry, R. J. Ashleigh, and M. T. Jones Preoperative Embolization Followed by Surgical Excision of an Intrapericardial Pheochromocytoma Ann. Thorac. Surg., January 1, 2007; 83(1): 302 - 304. [Abstract] [Full Text] [PDF]

				G. Knop and R. Margaria Cardiac pheochromocytoma: A new case reported. J. Thorac. Cardiovasc. Surg., November 1, 2006; 132(5): 1230 - 1231. [Full Text] [PDF]

				E. J. Okum, D. Henry, V. Kasirajan, and A. DeAnda Cardiac pheochromocytoma J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 674 - 675. [Full Text] [PDF]

				M. J. Reardon and W. R. Smythe Cardiac Neoplasms Card. Surg. Adult, January 1, 2003; 2(2003): 1373 - 1400. [Full Text]

				A. Z Apaydin, D. Wu, and R. B Griepp Cardiac Paraganglioma Asian Cardiovasc Thorac Ann, September 1, 2001; 9(3): 212 - 214. [Abstract] [Full Text] [PDF]

				P. A. Araoz, S. L. Mulvagh, H. D. Tazelaar, P. R. Julsrud, and J. F. Breen CT and MR Imaging of Benign Primary Cardiac Neoplasms with Echocardiographic Correlation RadioGraphics, September 1, 2000; 20(5): 1303 - 1319. [Abstract] [Full Text] [PDF]

				M. L. Grebenc, M. L. Rosado de Christenson, A. P. Burke, C. E. Green, and J. R. Galvin Primary Cardiac and Pericardial Neoplasms: Radiologic-Pathologic Correlation RadioGraphics, July 1, 2000; 20(4): 1073 - 1103. [Abstract] [Full Text] [PDF]