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

doi:10.1007/s11748-020-01503-2

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 journal › Article › peer-review

4 Scopus citations

Abstract

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 language	English
Pages (from-to)	555-559
Number of pages	5
Journal	General Thoracic and Cardiovascular Surgery
Volume	69
Issue number	3
DOIs	https://doi.org/10.1007/s11748-020-01503-2
State	Published - Mar 2021
Externally published	Yes

Keywords

Cardiac tumor
Intracardiac paraganglioma
Mediastinal mass
SDHC mutation

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10.1007/s11748-020-01503-2

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title = "Intracardiac paragangliomas: surgical approach and perioperative management",

abstract = "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.",

keywords = "Cardiac tumor, Intracardiac paraganglioma, Mediastinal mass, SDHC mutation",

author = "Guenthart, \{Brandon A.\} and Winston Trope and Worasak Keeyapaj and Weiel, \{Julianna J.\} and Amanda Edmonson and MacArthur, \{John W.\} and Annes, \{Justin P.\} and Woo, \{Y. Joseph\} and Lui, \{Natalie S.\}",

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year = "2021",

month = mar,

doi = "10.1007/s11748-020-01503-2",

language = "English",

volume = "69",

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journal = "General Thoracic and Cardiovascular Surgery",

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TY - JOUR

T1 - Intracardiac paragangliomas

T2 - surgical approach and perioperative management

AU - Guenthart, Brandon A.

AU - Trope, Winston

AU - Keeyapaj, Worasak

AU - Weiel, Julianna J.

AU - Edmonson, Amanda

AU - MacArthur, John W.

AU - Annes, Justin P.

AU - Woo, Y. Joseph

AU - Lui, Natalie S.

PY - 2021/3

Y1 - 2021/3

N2 - 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.

AB - 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.

KW - Cardiac tumor

KW - Intracardiac paraganglioma

KW - Mediastinal mass

KW - SDHC mutation

UR - https://www.scopus.com/pages/publications/85092713076

U2 - 10.1007/s11748-020-01503-2

DO - 10.1007/s11748-020-01503-2

M3 - Article

C2 - 33074472

AN - SCOPUS:85092713076

SN - 1863-6705

VL - 69

SP - 555

EP - 559

JO - General Thoracic and Cardiovascular Surgery

JF - General Thoracic and Cardiovascular Surgery

IS - 3

ER -

Intracardiac paragangliomas: surgical approach and perioperative management

Abstract

Keywords

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