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Left atrial phaeochromocytoma.

N Moorjani¹, J Kuo, D Wilkins

¹Department of Cardiothoracic Surgery, Derriford Hospital, Plymouth PL6 8DH, UK. narain.moorjani@doctors.org.uk

Heart (British Cardiac Society)

|October 16, 2004

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A rare left atrial phaeochromocytoma causing persistent hypertension was diagnosed using 131I-metaiodobenzylguanidine scintigraphy. Surgical removal with perioperative adrenergic blockade proved a successful treatment for this cardiac tumor.

Area of Science:

Cardiology
Oncology
Endocrinology

Background:

Phaeochromocytomas are rare neuroendocrine tumors typically arising in the adrenal medulla.
Cardiac phaeochromocytomas are exceptionally rare, posing diagnostic and therapeutic challenges.

Observation:

A 69-year-old woman presented with persistent hypertension.
Diagnostic imaging revealed a left atrial mass consistent with phaeochromocytoma.

Findings:

131I-metaiodobenzylguanidine (131I-MIBG) scintigraphy confirmed the diagnosis of a left atrial phaeochromocytoma.
The patient underwent successful surgical excision of the tumor using cardiopulmonary bypass.

Implications:

This case highlights the importance of considering rare ectopic phaeochromocytomas in patients with unexplained hypertension.

Related Experiment Videos

Successful surgical management with perioperative alpha and beta adrenergic blockade is crucial for favorable outcomes.