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Ann Thorac Surg 1991;51:661-663
© 1991 The Society of Thoracic Surgeons

Articles

Intrapericardial pheochromocytoma

Chau-HsiungChang , MD*, Pyng J. Lin, MD, Jen-PinChang , MD, Ming-JangShieh , MD, Ming-ChungLee , MD, Hong-SoHuang , MD, Tseng-TongKuo , MD

Section of Thoracic and Cardiovascular Surgery, Department of Surgery, Department of Internal Medicine, and Department of Pathology, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China

Accepted for publication September 18, 1990.

* Address reprint requests to Dr Chang, Chang Gung Memorial Hospital, 199, Tung Hwa North Road, Taipei, Taiwan, Republic of China.

In a 34-year-old man with hypertension and increased urinary catecholamine excretion for 12 years, an m-[131I]iodobenzyiguanidine scan and chest computed tomography located an intrapericardial pheochromocytoma in the left atrium. The tumor was excised through a left thoracotomy with cardiopulmonary bypass and circulatory arrest. At 34-month follow-up, blood pressure and urine catecholamine levels were normal. In the 15 cases of intrapericardial pheochromocytoma treated by resection reported in the literature, all 11 survivors were symptom-free except 1 who had residual left atrial tumor and multiple skeletal metastatic lesions. Computed tomography directed by the m-[131I]iodobenzylguanidine scan can be used for detailed location of the tumor. Appropriate surgical approach and use of cardiopulmonary bypass are critical in the resection of these highly vascular tumors.






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