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Ann Thorac Surg 2009;88:278-281. doi:10.1016/j.athoracsur.2008.11.029
© 2009 The Society of Thoracic Surgeons
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Jian Zhou
Jie Xiang
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Case Reports

Surgical Treatment of Cardiac Pheochromocytoma: A Case Report

Jian Zhou, MD, Msc, Hai-Tao Chen, MD, Jie Xiang, MD, Xiao-Hong Qu, MD, Yao-Quan Zhou, MD, Wang-Fu Zang, MD, PhD*

Department of Cardiothoracic Surgery, Shanghai Jiao-Tong University Medical School, Ruijin Hospital, Shanghai, China

Accepted for publication November 13, 2008.

* Address correspondence to Dr Zang, Department of Cardiothoracic Surgery, Shanghai Jiao-Tong University Medical School, Ruijin Hospital, Shanghai, 200025, China (Email: zangwf{at}hotmail.com).

Primary cardiac pheochromocytoma is an extremely rare neoplasm. We report a 15-year-old girl who was presented with paroxysmal hypertension. An iodine-131 metaiodobenzylguanidine scintigraphy scanning showed a pheochromocytoma in her right atrial and ventricular wall. The tumor was subsequently confirmed by magnetic resonance imaging and coronary angiogram. This patient underwent a successful surgical resection of the tumor, a reconstruction of the atrial ventricular wall and right coronary artery bypass grafting. Her blood pressure remained normal thereafter. A follow-up coronary angiogram revealed a patent saphenous vein graft 4 months after the operation.






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