Concomitant Coronary Artery Bypass Grafting and Adrenalectomy for Pheochromocytoma

ABSTRACT We report the first case of concomitant coronary artery bypass grafting (CABG) and adrenalectomy for pheochromocytoma. Which lesion to correct first and staging of the corrective procedures are highly controversial issues. Issues concerning pre‐ and intraoperative control of hemodynamic ins...

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Veröffentlicht in:Journal of cardiac surgery 1995-03, Vol.10 (2), p.179-183
Hauptverfasser: Nielson, David H., Tomasello, Donald N., Brennan Jr, Edward J., Chen, Chijen
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container_end_page 183
container_issue 2
container_start_page 179
container_title Journal of cardiac surgery
container_volume 10
creator Nielson, David H.
Tomasello, Donald N.
Brennan Jr, Edward J.
Chen, Chijen
description ABSTRACT We report the first case of concomitant coronary artery bypass grafting (CABG) and adrenalectomy for pheochromocytoma. Which lesion to correct first and staging of the corrective procedures are highly controversial issues. Issues concerning pre‐ and intraoperative control of hemodynamic instability from catecholamine release are discussed. Preoperative alpha and beta blockade permitted excellent hemodynamic control in the operating room. Operative and postoperative courses were uneventful and the patient had complete resolution of his angina and hypertension. We conclude that concomitant CABG and adrenalectomy is the preferred approach when pheochromocytoma and symptomatic coronary artery atherosclerosis coexist.
doi_str_mv 10.1111/j.1540-8191.1995.tb01236.x
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subjects Adrenal Gland Neoplasms - surgery
Adrenalectomy
Aged
Coronary Artery Bypass
Coronary Artery Disease - complications
Coronary Artery Disease - surgery
Humans
Male
Pheochromocytoma - surgery
title Concomitant Coronary Artery Bypass Grafting and Adrenalectomy for Pheochromocytoma
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