Mediastinal pheochromocytoma with single coronary blood supply: a case report.
Primary pheochromocytomas located outside the adrenal glands account for only 10% of all pheochromocytomas. Mediastinal pheochromocytomas are even rarer and usually represent a therapeutic challenge as they often infiltrate adjacent structures. We report the case of a large primary mediastinal pheochromocytoma in a 65-year-old patient presenting with a sudden angina-like chest pain and dyspnea. Thoracic multislice computed tomography showed an 8 x 5 x 6-cm retrocardiac mass causing compression of both atria and infiltrating the left superior pulmonary vein. The tumor was highly vascularized and presented a blood supply derived from the circumflex artery. The mass was successfully removed by open heart surgery, and the patient was discharged 10 days postoperatively.
Beiras-Fernandez
Andres
A
Department of Cardiac Surgery, University Hospital Grosshadern, Munich, Germany. Andres.Beiras@med.uni-muenchen.de
Uberfuhr
Peter
P
Kaczmarek
Ingo
I
Nikolaou
Konstantinou
K
Weis
Florian
F
Ramp
Theodor
T
Lamm
Peter
P
Kreuzer
Eckart
E
Reichart
Bruno
B
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000000981:diagnostic imaging*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D008482:Mediastinum / Q000000981:diagnostic imaging* / Q000601:surgery*; D010673:Pheochromocytoma / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome