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J Thorac Cardiovasc Surg 2006;132:1460-1461
© 2006 The American Association for Thoracic Surgery

Brief Communication

Extra-adrenal pheochromocytoma involving the left atrium: An infrequent pathologic occurrence

M. Ibrahim Nassar, MDa,*, Ramiro de la Llana, MDa, Eduardo de Bonis, MDc, Pilar Garrido, MDa, Antonio Alarcó, MDb, Rafael Méndez, MDd, Rafael Martínez-Sanz, MDa

a Department of Cardiovascular Surgery, University Hospital of the Canary Islands, University of La Laguna, Tenerife, Spain
b Department of General Surgery, University Hospital of the Canary Islands, University of La Laguna, Tenerife, Spain
c Department of Nephrology, University Hospital of the Canary Islands, University of La Laguna, Tenerife, Spain
d Department of Pathology, University Hospital of the Canary Islands, University of La Laguna, Tenerife, Spain.

Received for publication June 16, 2006; accepted for publication August 16, 2006.

* Address for reprints: M. Ibrahim Nassar, MD, Pedro Modesto Campos no. 4 5°-C, 38005 Sta Cruz de Tenerife, Spain. (Email: kardionassar@gmail.com).

The first 20% of the full text of this article appears below.

Cardiac paraganglioma is extremely infrequent. About 20 cases have been reported, some of them more than once. Our patient presented with the clinical signs, symptoms, and biochemical evidence suggestive of pheochromocytoma. Computed tomography showed a tumor situated above the left atrium that was successfully removed by means of cardiac surgery.

Clinical Summary

A 37-year-old woman experienced hypertensive crisis while being anaesthetized for cholecystectomy. An anterior mediastinal mass, compatible with pheochromocytoma, was revealed by means of computed tomographic scanning and vanillylmandelic acid determinations.

Mediastinal sternotomy was performed to reach a theoretic anterior mediastinal mass. However, during . . . [Full Text of this Article]






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