Matadial Christina, Giquel Jadelis, Martinez-Ruiz Ricardo
Department of Clinical Anaesthesiology, University of Miami, Miller School of Medicine, Veteran Hospital, USA.
JRSM Cardiovasc Dis. 2013 Aug 14;2:2048004013493403. doi: 10.1177/2048004013493403. eCollection 2013.
Perioperative management of a patient with ischemic heart disease with coexisting abdominal aortic aneurysm and pheochromocytoma creates a difficult management dilemma, and surgical intervention in these patients carries a significant risk. The state of catecholamine excess and various other coexisting factors can lead to simultaneous occurrence of abdominal aortic aneurysm and pheocromocytoma. The purpose of this report is to present an integrated approach to the management of concomitant abdominal aortic aneurysm and pheochromocytoma, where a combined surgical approach in addressing these two lesions was preferable due to patient comorbidities and surgical implications without significant complication.
对于患有缺血性心脏病且并存腹主动脉瘤和嗜铬细胞瘤的患者,围手术期管理带来了棘手的管理难题,并且对这些患者进行手术干预具有重大风险。儿茶酚胺过量状态及各种其他并存因素可导致腹主动脉瘤和嗜铬细胞瘤同时发生。本报告的目的是介绍一种针对并存腹主动脉瘤和嗜铬细胞瘤的综合管理方法,鉴于患者的合并症和手术影响,在处理这两种病变时采用联合手术方法更为可取,且未出现明显并发症。