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J Thorac Cardiovasc Surg 1998;115:734-736
© 1998 Mosby, Inc.

LETTERS TO THE EDITOR

Aortopulmonary paraganglioma: An overview after five years

J. Castañon, MDa, S. Blanco, MDb, M. Gil-Aguad, MDa, A. Alswies, MDa, F. O'Connor, MDa, A. J. Torres, MDb

To the Editor:

In December 1993, we published a case report in this JournalGo 1 concerning a paraganglioma in the aortic arch of a 64-year-old woman. The operation was performed on June 21, 1991. In this report we specifically emphasized the importance of conventional angiography over aortography by digital substraction for making an early diagnosis.

Later, in a letter to the Editor, LacquetGo 2 suggested a list of recommendations and comments we should follow in diagnosis of possible new locations of paraganglioma or Carney's triad.Go 3

Our patient has been seen annually in our center and has had no symptoms indicative of any complications. In October 1996, more than 5 years after the operation, routine radiographs confirmed her satisfactory condition, and the most recent computed tomographic scan ruled out any complications. The appearance of the aortic arch on the computed tomographic scans before and after resection (Figs. 1 and 2) revealed a conservative aortic anatomy with no local complications.



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  		Fig. 1. Chest scan before the operation.

 


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  		Fig. 2. Chest scan 5 years after the operation.

 
In the absence of local relapse and without any data indicative of other tumors, we recommended less frequent check-ups and arranged an appointment for 2 years after the last examination. We consider that the follow-up period (of more than 5 years) is sufficient to consider that the risk of new tumors associated with the paraganglioma has now been considerably reduced.

Departments of Cardiac Surgeryaand Thoracic SurgerybCardiac SurgeryHospital Universitario "San Carlos", Madrid, Spain References

  1. Castañon J, Gil-Aguado M, de la Llana R, O'Connor F, Alswies A, Kowacevich T. Aortopulmonary paraganglioma, a rare aortic tumor: a case report. J Thorac Cardiovasc Surg 1993;106:1232-3.[Medline]
  2. Lacquet LK. Aortopulmonary paraganglioma, a rare tumor [letter]. J Thorac Cardiovasc Surg 1995;109:398.
  3. Carney JA. The triad of gastric ephiteloid leiomyosarcoma, functioning extraadrenal paraganglioma, and pulmonary chondroma. Cancer 1979;43:374-82.[Medline]




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