Anesthesia for pheochromocytoma resection in a child with Fontan circulation

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• 作者：Thomas R. Latendresse MD (1)
  Adam B. Goldin MD (2)
  Christer Jonmarker MD ; PhD (1)
  
• 刊名：Canadian Journal of Anesthesia/Journal canadien d'anesth篓娄sie
• 出版年：2011
• 出版时间：July 2011
• 年：2011
• 卷：58
• 期：7
• 页码：642-645
• 全文大小：204KB
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• 作者单位：Thomas R. Latendresse MD (1)
  Adam B. Goldin MD (2)
  Christer Jonmarker MD, PhD (1)
  
  1. Department of Anesthesiology and Pain Medicine, Seattle Children鈥檚 Hospital and the University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA, 98105, USA
  2. Department of Surgery, Seattle Children鈥檚 Hospital and the University of Washington School of Medicine, Seattle, WA, USA
  

文摘

Purpose To report the anesthetic management of a successful resection of a pheochromocytoma in a child with a completed Fontan circulation. Clinical features The patient was an 11-yr-old boy with Ivemark syndrome who had undergone Fontan palliation at three years of age. Six weeks earlier, he had been diagnosed with a norepinephrine-producing pheochromocytoma, and he had been pretreated with oral propranolol and phenoxybenzamine. During surgery, intravenous administration of magnesium sulphate, esmolol, and phentolamine provided good hemodynamic control. Postoperatively, the patient tended to be hypotensive, and treatment with fluid administration resulted in prolonged intensive care. Conclusion Although intraoperative management was not problematic, postoperative care of this 11-yr old child with pheochromocytoma was complicated by residual sympathetic blockade.