Intracardiac paragangliomas: surgical approach and perioperative management

Brandon A. Guenthart, Winston Trope, Worasak Keeyapaj, Julianna J. Weiel, Amanda Edmonson, John W. MacArthur, Justin P. Annes, Y. Joseph Woo, Natalie S. Lui

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Intracardiac paragangliomas most commonly arise from the left atrium and are often infiltrative and densely adherent to surrounding structures. Given their rarity, only scattered reports exist in the literature and standardized perioperative and surgical management is not well established. We describe a case of a 60-year-old woman with a mildly functioning intracardiac paraganglioma in which division of the superior vena cava improved exposure and enabled a complex limited resection. Further, we provide an overview of the diagnostic workup, perioperative medical management, surgical approach, and surveillance strategy in patients with these challenging tumors.

Original languageEnglish
Pages (from-to)555-559
Number of pages5
JournalGeneral Thoracic and Cardiovascular Surgery
Issue number3
StatePublished - Mar 2021
Externally publishedYes


  • Cardiac tumor
  • Intracardiac paraganglioma
  • Mediastinal mass
  • SDHC mutation


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