title: [Anesthetic management of cardiac pheochromocytoma resection and coronary artery bypass grafting under cardiopulmonary bypass].
abstract: We experienced pheochromocytoma resection and coronary artery bypass grafting under cardiopulmonary bypass (CPB). The patient was a 69-year-old man who was first diagnosed with atherosclerotic angina. During operation, his blood pressure increased at induction and manipulation of the tumor under CPB, associated with an increased serum noradrenaline concentration. Starting operation, we monitored using transesophageal echocardiography (TEE), and used that view for diagnosis and anesthetic or hemodynamic management. It was especially useful after tumor resection. Surgical and hemodynamic management was facilitated by TEE. TEE was useful to make a diagnosis of cardiac pheochromocytoma, to determine the area of resection, to determine the surgical repair, and to make a decision of hemodynamic management in this complicated patient. We suggest that perfoming these cases under CPB and TEE is recommended for stabilization of hemodynamic states.
authors.affiliation: Department of Anesthesiology, Juntendo University School of Medicine, Tokyo 113-8431.
authors.forename: Asaka
authors.initials: A
authors.lastname: Watanabe
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Sugasawa
authors.forename: Maho
authors.initials: M
authors.lastname: Kakemizu
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Aoyama
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Akazawa
authors.forename: Eiichi
authors.initials: E
authors.lastname: Inada
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery*; D006325:Heart Atria; D006338:Heart Neoplasms / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D010673:Pheochromocytoma / Q000601:surgery*