Pheochromocytoma resection in a patient with chronic thromboembolic pulmonary hypertension and thrombocytopenia

Pheochromocytomas are rare catecholamine secreting neuroendocrine tumors that can produce life-threatening cardiovascular instability.1,2 Preoperative management with alpha blockade and intravascular volume expansion is crucial to intraoperative hemodynamic management, given risk of catecholamine surges with induction of anesthesia, intubation, surgical incision, insufflation, and tumor manipulation. Intraoperative pheochromocytoma resection management focuses on the goals of maintaining hemodynamic stability in the face of catecholamine surge.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Case Conference Source Type: research