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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
A Patient With Symptomatic Pheochromocytoma and Very Severe Aortic Valve Stenosis: Diagnostic and Management Approach
Wilfredo Henriquez Madrid1, Arianna Pregenzer-Wenzler1, Richard Dorin2
1Division of Cardiology, New Mexico VA Health Care Systems and University of New Mexico School of Medicine, Albuquerque, New Mexico, USA.
Abstract:
Preoperative management of a pheochromocytoma involves α-adrenergic receptor blockers and volume expansion followed by β-adrenergic receptor blockers and then adrenalectomy, which in the presence of very severe aortic valve stenosis would be challenging. We describe a patient with this rare combination who underwent pharmacotherapy followed by transcatheter aortic valve replacement and then adrenalectomy, culminating in a successful outcome for this patient.
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