Otsuka Hiroyuki, Tayama Eiki, Uemura Keiichiro, Furusaka Hiro, Hisaka Toru, Igawa Tsukasa
Department of Surgery, Division of Cardiovascular Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan 830-0011.
Department of Urology, Kurume University School of Medicine, Kurume, Fukuoka, Japan 830-0011.
JCEM Case Rep. 2024 Oct 24;2(11):luae202. doi: 10.1210/jcemcr/luae202. eCollection 2024 Nov.
A 44-year-old man was diagnosed with a giant pheochromocytoma in the right retroperitoneal cavity following treatment for heart failure. Subsequent to improvement in cardiac function, the patient underwent a laparotomy to excise the tumor. Due to its considerable size, partial cardiopulmonary bypass and blood purification therapy were initiated to stabilize hemodynamics during the surgical intervention. Herein, we present the utilization of partial cardiopulmonary bypass and blood purification in the resection of a giant pheochromocytoma in a patient with a history of heart failure, which proved beneficial in ensuring hemodynamic stability.
一名44岁男性在接受心力衰竭治疗后被诊断出右侧腹膜后腔有一个巨大嗜铬细胞瘤。在心脏功能改善后,患者接受了剖腹手术以切除肿瘤。由于肿瘤体积较大,在手术干预期间启动了部分体外循环和血液净化治疗以稳定血流动力学。在此,我们介绍了在一名有心力衰竭病史的患者中,部分体外循环和血液净化在巨大嗜铬细胞瘤切除术中的应用,这被证明有助于确保血流动力学稳定。