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腹腔镜下切除合并三支血管冠状动脉疾病患者的血压正常型嗜铬细胞瘤：麻醉挑战

Laparoscopic excision of normotensive variant pheochromocytoma in a case of triple vessel coronary artery disease: The anaesthesia challenge.

作者信息

Diwakar Anitha, Geetanjali T, Punetha Pankaj, Hiremath Channabasavaraj

机构信息

Department of Anaesthesiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, India.

Department of Cardiovascular and Thoracic Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, India.

出版信息

Ann Card Anaesth. 2023 Oct-Dec;26(4):454-457. doi: 10.4103/aca.aca_14_23.

DOI:10.4103/aca.aca_14_23
PMID:37861585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10691557/
Abstract

Pheochromocytomas are catecholamine-secreting tumours arising mostly from the adrenal medulla. With the advancement in surgical and anaesthetic techniques, the incidence of severe morbidity and mortality associated with surgery is low. However, concurrent coronary artery disease and pheochromocytoma continue to be a challenge due to the risk of adverse cardiovascular events. We describe the successful management of pheochromocytoma excision in a patient with coronary artery disease.

摘要

嗜铬细胞瘤是主要起源于肾上腺髓质的分泌儿茶酚胺的肿瘤。随着外科手术和麻醉技术的进步，与手术相关的严重发病率和死亡率较低。然而，由于存在不良心血管事件的风险，冠心病合并嗜铬细胞瘤仍然是一个挑战。我们描述了一例冠心病患者嗜铬细胞瘤切除的成功管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e300/10691557/b943a48aa134/ACA-26-454-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e300/10691557/7eb50316f36c/ACA-26-454-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e300/10691557/b943a48aa134/ACA-26-454-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e300/10691557/7eb50316f36c/ACA-26-454-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e300/10691557/b943a48aa134/ACA-26-454-g002.jpg

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Laparoscopic excision of normotensive variant pheochromocytoma in a case of triple vessel coronary artery disease: The anaesthesia challenge.腹腔镜下切除合并三支血管冠状动脉疾病患者的血压正常型嗜铬细胞瘤：麻醉挑战
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本文引用的文献

1
A case report of an open aortic valve replacement followed by open adrenalectomy in a patient with symptomatic pheochromocytoma and critical aortic stenosis.一例有症状嗜铬细胞瘤合并严重主动脉瓣狭窄患者行开放式主动脉瓣置换术和开放式肾上腺切除术的病例报告。
J Cardiothorac Surg. 2021 Sep 28;16(1):282. doi: 10.1186/s13019-021-01665-x.
2
Current perioperative management of pheochromocytomas.嗜铬细胞瘤的当前围手术期管理。
Indian J Urol. 2017 Jan-Mar;33(1):19-25. doi: 10.4103/0970-1591.194781.
3
Per-operative hemodynamic instability in normotensive patients with incidentally discovered pheochromocytomas.
偶发嗜铬细胞瘤的血压正常患者术中血流动力学不稳定
J Clin Endocrinol Metab. 2015 Feb;100(2):417-21. doi: 10.1210/jc.2014-2998. Epub 2014 Nov 18.
4
Pheochromocytoma and paraganglioma: an endocrine society clinical practice guideline.嗜铬细胞瘤和副神经节瘤：内分泌学会临床实践指南
J Clin Endocrinol Metab. 2014 Jun;99(6):1915-42. doi: 10.1210/jc.2014-1498.
5
Preoperative alpha blockade for normotensive pheochromocytoma: is it necessary?术前α阻断治疗正常血压型嗜铬细胞瘤：有必要吗？
J Hypertens. 2011 Dec;29(12):2429-32. doi: 10.1097/HJH.0b013e32834d24d9.
6
Normotensive pheochromocytoma: institutional experience.血压正常的嗜铬细胞瘤：机构经验
World J Surg. 2005 Sep;29(9):1185-8. doi: 10.1007/s00268-005-7839-4.
7
Excision of adrenal pheochromocytoma and coronary artery bypass graft surgery with cardiopulmonary bypass.肾上腺嗜铬细胞瘤切除术及体外循环下冠状动脉搭桥手术。
J Cardiothorac Vasc Anesth. 2002 Jun;16(3):344-6. doi: 10.1053/jcan.2002.124145.
8
Combined surgery for coronary artery disease and pheochromocytoma.冠状动脉疾病与嗜铬细胞瘤联合手术
Can J Anaesth. 2000 Jul;47(7):647-52. doi: 10.1007/BF03018998.
9
Concomitant coronary artery bypass grafting and adrenalectomy for pheochromocytoma.同期进行冠状动脉旁路移植术和嗜铬细胞瘤肾上腺切除术。
J Card Surg. 1995 Mar;10(2):179-83. doi: 10.1111/j.1540-8191.1995.tb01236.x.
10
[Pheochromocytoma and aortocoronary bypass. Double surgical procedure].[嗜铬细胞瘤与主动脉冠状动脉搭桥术。双重外科手术]
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