Management of Hypertension in Intrapericardial Paraganglioma
Joint Authors
Conti, Valentina
Dominioni, Lorenzo
Imperatori, Andrea
Castiglioni, Massimo
Rotolo, Nicola
Bacuzzi, Alessandro
Source
International Journal of Hypertension
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-13
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Functioning paraganglioma is extra-adrenal catecholamine-secreting tumours that may cause secondary hypertension.
Primary intrapericardial paragangliomas are very rare and are located adjacent to the great vessels or heart, typically near the left atrium.
These tumours are an exceptionally uncommon finding during the investigation of refractory hypertension.
However, in recent years, intrapericardial paragangliomas have been diagnosed incidentally with increased frequency, due to the extensive use of radiologic chest imaging.
The mainstay of treatment of functioning intrapericardial paraganglioma is surgical removal, which usually achieves blood pressure normalization.
Due to the locations of these tumours, the surgical approach is through a median sternotomy or posterolateral thoracotomy, and manipulation-induced catecholamine release may cause paroxysmal hypertension.
Typically in these patients, blood pressure fluctuates dramatically intra- and post-operatively, increasing the risk of cardiovascular complications.
We review here the current modalities of perioperative fluid and hypotensive drug administration in the setting of surgery for functioning intrapericardial paraganglioma and discuss the recently proposed paradigm shift that omits preoperative preparation.
American Psychological Association (APA)
Rotolo, Nicola& Imperatori, Andrea& Bacuzzi, Alessandro& Conti, Valentina& Castiglioni, Massimo& Dominioni, Lorenzo. 2014. Management of Hypertension in Intrapericardial Paraganglioma. International Journal of Hypertension،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-500039
Modern Language Association (MLA)
Rotolo, Nicola…[et al.]. Management of Hypertension in Intrapericardial Paraganglioma. International Journal of Hypertension No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-500039
American Medical Association (AMA)
Rotolo, Nicola& Imperatori, Andrea& Bacuzzi, Alessandro& Conti, Valentina& Castiglioni, Massimo& Dominioni, Lorenzo. Management of Hypertension in Intrapericardial Paraganglioma. International Journal of Hypertension. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-500039
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500039