Intrapericardial paraganglioma directly irrigated by the right coronary artery.
We present a case of a nonfunctioning intrapericardial paraganglioma that presented as a typical chest pain in a 51-year-old woman. The tumor was initially diagnosed on coronary angiography where it had direct irrigation from the right coronary artery. Further computed tomography and magnetic resonance imaging scans showed significant compression of the superior vena cava by the tumor. This was excised through median sternotomy and extracorporeal circulation. Histopathological examination of the mass was characteristic of a paraganglioma.
Hawari
Mohammad
M
Department of Cardiothoracic Surgery, Southampton General Hospital, Southampton, United Kingdom. mhawari@gmail.com
Yousri
Taher
T
Hawari
Rand
R
Tsang
Geoffrey
G
D002637:Chest Pain / Q000209:etiology; D003251:Constriction, Pathologic / Q000209:etiology; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology* / Q000503:physiopathology; D005112:Extracorporeal Circulation; D005260:Female; D006338:Heart Neoplasms / Q000098:blood supply* / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D010236:Paraganglioma, Extra-Adrenal / Q000098:blood supply* / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D010496:Pericardium / Q000473:pathology*; D013249:Sternum / Q000601:surgery; D014683:Vena Cava, Superior / Q000473:pathology