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 |
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container_title | Journal of cardiac surgery |
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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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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.</description><identifier>ISSN: 0886-0440</identifier><identifier>EISSN: 1540-8191</identifier><identifier>DOI: 10.1111/j.1540-8191.1995.tb01236.x</identifier><identifier>PMID: 7772882</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adrenal Gland Neoplasms - surgery ; Adrenalectomy ; Aged ; Coronary Artery Bypass ; Coronary Artery Disease - complications ; Coronary Artery Disease - surgery ; Humans ; Male ; Pheochromocytoma - surgery</subject><ispartof>Journal of cardiac surgery, 1995-03, Vol.10 (2), p.179-183</ispartof><rights>1995 Futura Publishing Company, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4606-55c01169384d97f4e1a7039a54b47abd07dcd05db3f50287c290561c47ecfa6d3</citedby><cites>FETCH-LOGICAL-c4606-55c01169384d97f4e1a7039a54b47abd07dcd05db3f50287c290561c47ecfa6d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1540-8191.1995.tb01236.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1540-8191.1995.tb01236.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7772882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nielson, David H.</creatorcontrib><creatorcontrib>Tomasello, Donald N.</creatorcontrib><creatorcontrib>Brennan Jr, Edward J.</creatorcontrib><creatorcontrib>Chen, Chijen</creatorcontrib><title>Concomitant Coronary Artery Bypass Grafting and Adrenalectomy for Pheochromocytoma</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>ABSTRACT We report the first case of concomitant coronary artery bypass grafting (CABG) and adrenalectomy for pheochromocytoma. 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We conclude that concomitant CABG and adrenalectomy is the preferred approach when pheochromocytoma and symptomatic coronary artery atherosclerosis coexist.</description><subject>Adrenal Gland Neoplasms - surgery</subject><subject>Adrenalectomy</subject><subject>Aged</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Artery Disease - complications</subject><subject>Coronary Artery Disease - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Pheochromocytoma - surgery</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE1r3DAQhkVoSTcfPyFgcujN7sj6snMpG9PuJg1JaFoKuQhZkhtvbWsjecn639dml71HlxF6Z55BD0KXGBI8ni-rBDMKcYZznOA8Z0lfAk4JT7ZHaHaIPqAZZBmPgVL4hE5CWAGkKSVwjI6FEGmWpTP0s3Cddm3dq66PCuddp_wQzX1vx3I9rFUI0cKrqq-7v5HqTDQ33naqsbp37RBVzkePL9bpF-9ap4fxUZ2hj5Vqgj3f11P0-_u3X8UyvntY3BTzu1hTDjxmTAPGPCcZNbmoqMVKAMkVoyUVqjQgjDbATEkqBmkmdJoD41hTYXWluCGn6POOu_budWNDL9s6aNs0qrNuE6QQBBjGYmy82jVq70LwtpJrX7fjPyUGOQmVKzlZk5M1OQmVe6FyOw5f7Ldsytaaw-je4Jh_3eVvdWOHd5DlbfE03UZCvCPUobfbA0H5f5ILIpj8c7-Qy5ySp-fHH5KT_7GelZc</recordid><startdate>199503</startdate><enddate>199503</enddate><creator>Nielson, David H.</creator><creator>Tomasello, Donald N.</creator><creator>Brennan Jr, Edward J.</creator><creator>Chen, Chijen</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199503</creationdate><title>Concomitant Coronary Artery Bypass Grafting and Adrenalectomy for Pheochromocytoma</title><author>Nielson, David H. ; Tomasello, Donald N. ; Brennan Jr, Edward J. ; Chen, Chijen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4606-55c01169384d97f4e1a7039a54b47abd07dcd05db3f50287c290561c47ecfa6d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adrenal Gland Neoplasms - surgery</topic><topic>Adrenalectomy</topic><topic>Aged</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Artery Disease - complications</topic><topic>Coronary Artery Disease - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Pheochromocytoma - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nielson, David H.</creatorcontrib><creatorcontrib>Tomasello, Donald N.</creatorcontrib><creatorcontrib>Brennan Jr, Edward J.</creatorcontrib><creatorcontrib>Chen, Chijen</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nielson, David H.</au><au>Tomasello, Donald N.</au><au>Brennan Jr, Edward J.</au><au>Chen, Chijen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Concomitant Coronary Artery Bypass Grafting and Adrenalectomy for Pheochromocytoma</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>1995-03</date><risdate>1995</risdate><volume>10</volume><issue>2</issue><spage>179</spage><epage>183</epage><pages>179-183</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>7772882</pmid><doi>10.1111/j.1540-8191.1995.tb01236.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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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