title: Right Thoracoabdominal Approach for Retrocardiac Paraganglioma Resection.
abstract: Paragangliomas are rare extra-adrenal tumors of sympathetic or parasympathetic paraganglia origin; of these, mediastinal paragangliomas are 2% of all cases. We present the case of a 21-year-old woman with uncontrolled arterial hypertension who had a functioning 6.5 × 6.2-cm retrocardiac paraganglioma firmly attached to the pericardium. The patient underwent tumor resection via a right thoracoabdominal incision; this surgical approach enabled adequate exposure for complete resection without institution of cardiopulmonary bypass or need for cardiac reconstruction or autotransplantation. Ten months postoperatively, the patient was doing well and was no longer hypertensive.
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Hinojosa
authors.forename: Hugo
authors.initials: H
authors.lastname: Laparra-Escareno
authors.forename: Javier E
authors.initials: JE
authors.lastname: Anaya-Ayala
authors.forename: Rene
authors.initials: R
authors.lastname: Lizola
authors.forename: Adriana
authors.initials: A
authors.lastname: Torres-Machorro
authors.forename: Armando
authors.initials: A
authors.lastname: Gamboa-Domínguez
mesh_terms: D062186:Arterial Pressure; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D008479:Mediastinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010236:Paraganglioma, Extra-Adrenal / Q000737:chemistry / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010496:Pericardium / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000072078:Positron Emission Tomography Computed Tomography; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy; D016896:Treatment Outcome; D051598:Whole Body Imaging; D055815:Young Adult
keywords: Cardiac surgical procedures/methods; diagnostic imaging; heart neoplasms/surgery; hypertension/etiology; mediastinal neoplasms/diagnosis; paraganglioma, extra-adrenal/pathology/radiography/surgery; treatment outcome; vascular neoplasms/surgery