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Perioperative Anaesthetic Management of a Large Paraganglioma Compressing Abdominal Aorta and Inferior Vena Cava: A Case Report

Perioperative Anaesthetic Management of a Large Paraganglioma Compressing Abdominal Aorta and Inferior Vena Cava: A Case Report

Authors :
Ayushee Khandelwal
Sambhunath Das
S Rajmohan
Bhusal Ishory
Joseph Cyril
Babu S. Anushna
Kumar Rakesh
Source :
Journal of the Practice of Cardiovascular Sciences, Vol 10, Iss 2, Pp 103-107 (2024)
Publication Year :
2024
Publisher :
Wolters Kluwer Medknow Publications, 2024.

Abstract

Paragangliomas (PGs) are rare neuroendocrine tumors that originate in the autonomic nervous system. Functionally, they are highly vascular and may be parasympathetic or sympathetic. Parasympathetic tumors are usually asymptomatic and inactive, located mostly in the skull base in the distribution of IX and X cranial nerves. In contrast, sympathetic tumors are highly active (secretes norepinephrine) and symptomatic and mainly located in the abdomen and pelvic regions. Surgical removal of these tumors is curative and key to favorable outcomes. Some of these tumors have malignant potential as well. Meticulous preoperative preparation is needed but many patients may still land up in hypertensive crises intraoperatively which should be managed promptly and cautiously by the anesthesia team to reduce morbidity and mortality during surgery. Here, we describe the successful anesthetic management of a patient diagnosed with large aortocaval PG abutting the aorta and compressing the inferior vena cava and bilateral renal veins.

Details

Language :
English
ISSN :
24542830
Volume :
10
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Journal of the Practice of Cardiovascular Sciences
Publication Type :
Academic Journal
Accession number :
edsdoj.5a16fadad824dfba43e73826e1ae4c2
Document Type :
article
Full Text :
https://doi.org/10.4103/jpcs.jpcs_18_24