Mediastinal pheochromocytoma with single coronary blood supply: a case report

Primary pheochromocytomas located outside the adrenal glands account for only 10% of all pheochromocytomas. Mediastinal pheochromocytomas are even rarer and usually represent a therapeutic challenge as they often infiltrate adjacent structures. We report the case of a large primary mediastinal pheoc...

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Bibliographic Details
Published in:	The Heart surgery forum Vol. 10; no. 3; p. E196
Main Authors:	Beiras-Fernandez, Andres, Uberfuhr, Peter, Kaczmarek, Ingo, Nikolaou, Konstantinou, Weis, Florian, Ramp, Theodor, Lamm, Peter, Kreuzer, Eckart, Reichart, Bruno
Format:	Journal Article
Language:	English
Published:	United States 2007
Subjects:	Aged Cardiac Surgical Procedures - methods Coronary Angiography Coronary Vessel Anomalies - diagnostic imaging Heart Neoplasms - diagnostic imaging Heart Neoplasms - surgery Humans Male Mediastinum - diagnostic imaging Mediastinum - surgery Pheochromocytoma - diagnostic imaging Pheochromocytoma - surgery Treatment Outcome
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Summary:	Primary pheochromocytomas located outside the adrenal glands account for only 10% of all pheochromocytomas. Mediastinal pheochromocytomas are even rarer and usually represent a therapeutic challenge as they often infiltrate adjacent structures. We report the case of a large primary mediastinal pheochromocytoma in a 65-year-old patient presenting with a sudden angina-like chest pain and dyspnea. Thoracic multislice computed tomography showed an 8 x 5 x 6-cm retrocardiac mass causing compression of both atria and infiltrating the left superior pulmonary vein. The tumor was highly vascularized and presented a blood supply derived from the circumflex artery. The mass was successfully removed by open heart surgery, and the patient was discharged 10 days postoperatively.
ISSN:	1522-6662
DOI:	10.1532/HSF98.20071008