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Ann Thorac Surg 2003;75:1950-1951
© 2003 The Society of Thoracic Surgeons

Case report

Nonfunctioning paraganglioma of the aortopulmonary window

Cristiano F. Andrade, MDa, Spencer M. Camargo, MDa, Marcelo Zanchet, MDa, José C. Felicetti, MDb, Paulo F. G. Cardoso, MD, PhD*b

a Department ofDepartments of Pavilhao Pereira Filho Hospital, Porto Alegre, RS,, Brazil
b Department ofSurgery, Division of Thoracic Surgery, Pavilhao Pereira Filho-Santa Casade Porto Alegre Hospital, Faculdade Federal de Ciencias Medicas Porto Alegre-Rio Grande do Sul, Brazil

Accepted for publication November 14, 2002.

* Address reprint requests to Dr Cardoso, Pavilhao Pereira Filho-Santa Casa de Porto Alegre, Rua Professor Annes Dias 285, 1 Andar, Porto Alegre, RS 90020-090, Brazil
e-mail: cardoso{at}via-rs.net

Aortopulmonary paraganglioma is a rare tumor of the mediastinum. The only effective treatment is complete resection, which may pose a surgical challenge because of its proximity to the heart, great vessels, and trachea, often rendering a complete resection difficult to achieve. We report a case in which the tumor was excised under cardiopulmonary bypass and resulted in massive bleeding only controlled by means of packing the pleural cavity during 48 hours, known as damage control strategy. The patient survived and has been disease-free for 2 years.




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