Management of type A aortic dissection and a large pheochromocytoma: A surgical dilemma
Management of type A aortic dissection and a large pheochromocytoma: A surgical dilemma
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DOI：
10.1016/j.athoracsur.2005.08.035
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发表时间：
2006-06-01
影响因子：
4.6
通讯作者：
Gleason, T
中科院分区：
文献类型：
--
作者：
Bowen, FW;Civan, J;Gleason, T
急性 A 型主动脉夹层同时存在未确诊的嗜铬细胞瘤，造成了治疗的困境。一名患有急性 A 型主动脉夹层和嗜铬细胞瘤的患者在接受升主动脉和全弓置换术之前通过儿茶酚胺阻断使病情稳定。十四天后，患者接受了嗜铬细胞瘤切除术。如果主动脉夹层保持相对稳定，用儿茶酚胺阻断剂暂时对嗜铬细胞瘤进行为期 5 天的药物稳定可以实现安全的主动脉重建，并且似乎是谨慎的。
The concomitant presence of an undiagnosed pheochromocytoma at the time of an acute type A aortic dissection creates a difficult management dilemma. The case of a patient with an acute type A aortic dissection and pheochromocytoma was stabilized with catecholamine blockade before undergoing ascending aortic and total arch replacement. Fourteen days later the patient underwent resection of the pheochromocytoma. Temporizing medical stabilization of the pheochromocytoma with catecholamine blockade for a period of 5 days allowed for safe aortic reconstruction and seems to be prudent, provided that the aortic dissection remains relatively stable.