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Successful perioperative management of pheochromocytoma in a patient with Fontan circulation

Takumi Kadoya1, Mitsuhiro Fujino1, Kae Nakamura1

  • 1Department of Pediatric Cardiology, Osaka City General Hospital, Osaka, Japan.

Journal of Cardiology Cases
|July 31, 2023
PubMed

Insights

Managing pheochromocytoma (PCC) in Fontan circulation patients requires careful perioperative strategies. Successful resection improved hemodynamics, demonstrating the importance of tailored preconditioning for better outcomes.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Cardiovascular Surgery

Background:

  • Pheochromocytoma (PCC) poses significant risks to Fontan circulation, yet its perioperative management in these patients is under-reported.
  • PCC can precipitate or exacerbate heart failure and hemodynamic instability in individuals with Fontan physiology.
  • Early suspicion of PCC in Fontan patients presenting with heart failure or arrhythmias is crucial.

Keywords:
Fontan circulationPerioperative managementPheochromocytoma

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