title: Synchronous presentation of cardiac and abdominal paragangliomas.
abstract: A 28-year-old male presenting with a hypertensive crisis was found to have synchronous right atrial and retrocaval masses. Serum normetadrenaline was elevated in keeping with functional paragangliomas. After preoperative optimization both masses were successfully excised, including a saphenous vein graft to the right coronary artery. Serum catecholamines returned to the normal range postoperatively and all antihypertensive therapy was ceased.
authors.affiliation: Department of Cardiothoracic Surgery, Princess Alexandra Hospital, Woolloongabba, Brisbane, Australia. lachlan_marshall@health.qld.gov.au
authors.forename: Lachlan
authors.initials: L
authors.lastname: Marshall
authors.forename: Pallav
authors.initials: P
authors.lastname: Shah
authors.forename: Shinn
authors.initials: S
authors.lastname: Yeung
authors.forename: Julie
authors.initials: J
authors.lastname: Mundy
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D017023:Coronary Angiography / Q000379:methods; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D006325:Heart Atria / Q000473:pathology* / Q000601:surgery; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D006974:Hypertension, Malignant / Q000175:diagnosis / Q000209:etiology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000601:surgery; D010235:Paraganglioma / Q000175:diagnosis* / Q000601:surgery; D049268:Positron-Emission Tomography / Q000379:methods; D035583:Rare Diseases; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D018570:Risk Assessment; D016896:Treatment Outcome