[Anesthetic management for off-pump coronary artery bypass grafting in a patient with a pheochromocytoma and followed by the resection of the pheochromocytoma].
We successfully treated a 61-year-old woman with a pheochromocytoma and angina. We administered doxizosin mesilate for a month to achieve a good control of blood pressure and CABG was followed without any problems. After 3 months, pheochromocytoma was resected. There were no cardiac ischemia during both operations. We believe that it is very important to control blood pressure and to determine which operation, CABG or the pheochromocytoma resection, should be performed first, in these cases.
Okuno
Eita
E
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0215.
Kakinohana
Manabu
M
Miyata
Yuji
Y
Sugahara
Kazuhiro
K
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000601:surgery*; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D000767:Anesthesia, Epidural; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous; D000787:Angina Pectoris / Q000150:complications* / Q000601:surgery*; D047549:Coronary Artery Bypass, Off-Pump; D017292:Doxazosin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications* / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
D000317:Adrenergic alpha-Antagonists; D017292:Doxazosin