Laparoscopic excision of normotensive variant pheochromocytoma in a case of triple vessel coronary artery disease: The anaesthesia challenge

Ann Card Anaesth. 2023 Oct-Dec;26(4):454-457. doi: 10.4103/aca.aca_14_23.

Abstract

Pheochromocytomas are catecholamine-secreting tumours arising mostly from the adrenal medulla. With the advancement in surgical and anaesthetic techniques, the incidence of severe morbidity and mortality associated with surgery is low. However, concurrent coronary artery disease and pheochromocytoma continue to be a challenge due to the risk of adverse cardiovascular events. We describe the successful management of pheochromocytoma excision in a patient with coronary artery disease.

Keywords: Adrenalectomy; coronary artery disease; hypertensive crisis; ischaemia; pheochromocytoma.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms* / diagnostic imaging
  • Adrenal Gland Neoplasms* / surgery
  • Adrenalectomy / adverse effects
  • Adrenalectomy / methods
  • Anesthesia*
  • Coronary Artery Disease* / complications
  • Coronary Artery Disease* / diagnostic imaging
  • Coronary Artery Disease* / surgery
  • Humans
  • Laparoscopy* / methods
  • Pheochromocytoma* / diagnostic imaging
  • Pheochromocytoma* / surgery