Cesarean section at 28 weeks' gestation with resection of pheochromocytoma: perioperative antihypertensive management.
Pregnancy complicated by pheochromocytoma is potentially fatal. Pregnancy and labor increase the risk of hypertensive crisis as it may occur with the sudden release of catecholamine accompanying uterine contractility and straining. However, antepartum diagnosis reduces both maternal and fetal mortality, allowing for safe cesarean section and resection of tumor. We describe the management of perioperative hypertension for combined cesarean section and pheochromocytoma resection.
Kariya
Nobutaka
N
Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka 545-8586, Japan. n_kariya@hotmail.com
Nishi
Shinichi
S
Hosono
Yukako
Y
Hamaoka
Naoya
N
Nishikawa
Kiyonobu
K
Asada
Akira
A
D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000328:Adult; D000527:Alprostadil / Q000627:therapeutic use; D000773:Anesthesia, Obstetrical / Q000379:methods; D002585:Cesarean Section; D005260:Female; D005865:Gestational Age; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D010673:Pheochromocytoma / Q000601:surgery*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy*; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011292:Premedication
D000527:Alprostadil