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Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Coronary bypass surgery in the presence of metastatic pheochromocytoma
Kristen Seery1, Burak Ilsin, Alexander Kulik
1Lynn Heart and Vascular Institute, Boca Raton Regional Hospital, and Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida.
Abstract:
The hemodynamic management of a patient with a pheochromocytoma presents special challenges due to the episodic release of catecholamines from the tumor, which threatens to provoke a hypertensive crisis. We present a patient with metastatic pheochromocytoma (bone, lung, lymph nodes) who underwent successful coronary artery bypass graft (CABG) surgery following premedication with phenoxybenzamine and metyrosine as well as the use of intraoperative phentolamine for the management of a hypertensive crisis in the operating room.
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