Ohkubo T, Uno T, Suzuki K, Ueyama T, Yamaguchi T, Harada Y, Yoshimura K
Nihon Geka Gakkai Zasshi. 1983 Nov;84(11):1198-203.
A 16 year-old male, who had marked hypertension and complained of palpitation, hyperhidrosis, headache and weight-loss, was diagnosed as atrial septal defect with pheochromocytoma. The first operation was performed for tumor on September 3, 1981. The hemodynamic change was recorded through the operation. The total systemic peripheral resistance and the total pulmonary resistance were improved after surgery. The systemic and pulmonary blood pressure were also decreased to normal level after surgery, although pulmonary arterial flow was increased. On one hundred and third day after this operation, radical correction for the cardiac malformation was performed. Operative and postoperative course were uneventful and the patient is free from all untoward complaints at this moment. Blood or urine catecholamine levels have also improved and are within normal limits.
一名16岁男性，患有明显高血压，伴有心悸、多汗、头痛和体重减轻，被诊断为房间隔缺损合并嗜铬细胞瘤。1981年9月3日首次进行肿瘤手术。术中记录了血流动力学变化。术后总体循环外周阻力和总肺阻力均得到改善。尽管肺动脉血流量增加，但术后体循环和肺循环血压也降至正常水平。此次手术后第103天，对心脏畸形进行了根治性矫正。手术及术后过程顺利，目前患者无任何不适主诉。血或尿儿茶酚胺水平也已改善，均在正常范围内。
