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Ann Thorac Surg 2007;83:302-304
© 2007 The Society of Thoracic Surgeons

Case Reports

Preoperative Embolization Followed by Surgical Excision of an Intrapericardial Pheochromocytoma

Ased M. Ali, MRCSa, Mohan Devbhandari, MRCSa, Anand Sastry, MRCSa, Raymond Joel Ashleigh, FRCRb, Mark Trevor Jones, FRCSa,*

a Department of Cardiothoracic Surgery, Manchester, United Kingdom
b Department of Radiology, Wythenshawe Hospital, Manchester, United Kingdom

Accepted for publication May 31, 2006.

* Address correspondence to Dr Jones, Wythenshawe Hospital, Department of Cardiothoracic Surgery, Manchester, UK M23 9LT (Email: mark.jones{at}smuht.nwest.nhs.uk).

A teenager with palpitations and hypertension was found to have an intrapericardial pheochromocytoma of the left atrium with multiple feeding collaterals. Radiologic embolization was carried out on the major feeding arteries to the tumor preoperatively with good angiographic result. Surgery was carried out the following day through a median sternotomy approach and cardiopulmonary bypass. Minimal bleeding was observed due to prior embolization. The patient made a rapid postoperative recovery and was discharged 7 days later.




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