Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology

Survival rates for patients with palliated congenital heart disease are increasing, and an increasing number of adults with cyanotic congenital heart disease (CCHD) might require surgical resection of pheochromocytoma-paraganglioma (PHEO-PGL). A recent study supports the idea that patients with a hi...

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Autores principales: Suffredini, Giancarlo, Diaz-Rodriguez, Natalia, Chakravarthy, Krishnan, Mathur, Aarti, Hayanga, Heather K, Frank, Steve M, Ringel, Richard E, Freiberg, Stephen, Barodka, Viachaslau M, Steppan, Jochen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806932/
https://www.ncbi.nlm.nih.gov/pubmed/29464136
http://dx.doi.org/10.7759/cureus.1928
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author Suffredini, Giancarlo
Diaz-Rodriguez, Natalia
Chakravarthy, Krishnan
Mathur, Aarti
Hayanga, Heather K
Frank, Steve M
Ringel, Richard E
Freiberg, Stephen
Barodka, Viachaslau M
Steppan, Jochen
author_facet Suffredini, Giancarlo
Diaz-Rodriguez, Natalia
Chakravarthy, Krishnan
Mathur, Aarti
Hayanga, Heather K
Frank, Steve M
Ringel, Richard E
Freiberg, Stephen
Barodka, Viachaslau M
Steppan, Jochen
author_sort Suffredini, Giancarlo
collection PubMed
description Survival rates for patients with palliated congenital heart disease are increasing, and an increasing number of adults with cyanotic congenital heart disease (CCHD) might require surgical resection of pheochromocytoma-paraganglioma (PHEO-PGL). A recent study supports the idea that patients with a history of CCHD and current or historical cyanosis might be at increased risk for developing PHEO-PGL. We review the anesthetic management of two adults with single-ventricle physiology following Fontan palliation presenting for PHEO-PGL resection and review prior published case reports. We found the use of epidural analgesia to be safe and effective in the operative and postoperative management of our patients.
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spelling pubmed-58069322018-02-20 Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology Suffredini, Giancarlo Diaz-Rodriguez, Natalia Chakravarthy, Krishnan Mathur, Aarti Hayanga, Heather K Frank, Steve M Ringel, Richard E Freiberg, Stephen Barodka, Viachaslau M Steppan, Jochen Cureus Anesthesiology Survival rates for patients with palliated congenital heart disease are increasing, and an increasing number of adults with cyanotic congenital heart disease (CCHD) might require surgical resection of pheochromocytoma-paraganglioma (PHEO-PGL). A recent study supports the idea that patients with a history of CCHD and current or historical cyanosis might be at increased risk for developing PHEO-PGL. We review the anesthetic management of two adults with single-ventricle physiology following Fontan palliation presenting for PHEO-PGL resection and review prior published case reports. We found the use of epidural analgesia to be safe and effective in the operative and postoperative management of our patients. Cureus 2017-12-08 /pmc/articles/PMC5806932/ /pubmed/29464136 http://dx.doi.org/10.7759/cureus.1928 Text en Copyright © 2017, Suffredini et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Suffredini, Giancarlo
Diaz-Rodriguez, Natalia
Chakravarthy, Krishnan
Mathur, Aarti
Hayanga, Heather K
Frank, Steve M
Ringel, Richard E
Freiberg, Stephen
Barodka, Viachaslau M
Steppan, Jochen
Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology
title Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology
title_full Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology
title_fullStr Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology
title_full_unstemmed Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology
title_short Anesthetic Management of Pheochromocytoma Resection in Adults with Single Ventricle Physiology
title_sort anesthetic management of pheochromocytoma resection in adults with single ventricle physiology
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806932/
https://www.ncbi.nlm.nih.gov/pubmed/29464136
http://dx.doi.org/10.7759/cureus.1928
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