Thoracoscopic resection of posterior mediastinal paraganglioma: perioperative management and surgical tips

Autor: Yuki Matsumura, Mitsuro Fukuhara, Hayato Tanabe, Hikaru Yamaguchi, Hironori Takagi, Yuki Ozaki, Satoshi Muto, Naoyuki Okabe, Yutaka Shio, Hiroyuki Suzuki
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 17, Iss 1, Pp 1-4 (2022)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-022-01892-w
Popis: Abstract Posterior mediastinal paraganglioma (PM-PGL) is a rare disease that is difficult to diagnose. If PM-PGL is misdiagnosed preoperatively, surgeons may encounter severe tachycardia and hypertension and easy bleeding from the tumor during the operation. Therefore, it is essential to include PGL as a differential diagnosis for mediastinal tumors. We herein describe a 73-year-old Japanese man with a PM-PGL that was diagnosed preoperatively and resected safely by video-assisted thoracic surgery. Preoperative management of hypertension with doxazosin mesylate, soft coagulation of the peritumor area, and careful clipping of feeding arteries were effective for hemostasis. The patient’s vital signs were stable during and after the operation.
Databáze: Directory of Open Access Journals
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