Acute Pulmonary Edema for Surgical Removal of Pheochromocytoma - A case report -

Kim, Cheol Kun; Han, Sang Ji; Lee, Jun Hak; Kwon, Young Eun

doi:10.4097/kjae.2007.53.3.411

Cited by 2 publications

(1 citation statement)

References 16 publications

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“…In conclusion, it is first very important to monitor the intraoperative blood pressure and heart rate carefully because surgical manipulation of a reninoma may produce severe hypertension similar to that produced by a pheochromocytoma [ 12 ]. Second, it would be better to aggressively infuse more fluids because both decreased systemic vascular resistance and relative hypovolemia induced by the surgical removal of a reninoma may produce lethal hypotension and severe orthostatic dizziness in the postoperative patient.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report

Gil

Han

et al. 2015

Korean J Anesthesiol

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A reninoma is an uncommon, benign, renin-secreting juxtaglomerular cell tumor that causes secondary hypertension in young patients. This hypertension is treated by tumor resection. Except for increased levels of plasma renin and angiotensin I and II, the other physical and laboratory examinations and electrocardiographs were within normal limits upon admission of a 19-year-old woman with a reninoma. For percutaneous computed tomography-guided radiofrequency ablation, general anesthesia was induced by thiopental sodium and rocuronium bromide and maintained with servoflurane (2-4 vol%) and oxygen. The operation ended uneventfully in hemodynamic stability. However, the patient complained of dizziness while sitting 5 hours after the operation, and hypotension was diagnosed. After aggressive normal saline (1 L) infusion over 30 min, the hypotension was corrected and the patient recovered without any other surgical complications. Here, we report the anesthetic management of a patient who underwent percutaneous computed tomography-guided radiofrequency ablation for reninoma destruction, particularly focusing on postoperative hypotension.

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Section: Discussionmentioning

confidence: 99%