SciELO - Scientific Electronic Library Online

 
vol.50 issue3Anesthetic and surgical considerations for staged bilateral nephrectomies in a pediatric patient: A case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Colombian Journal of Anestesiology

Print version ISSN 0120-3347On-line version ISSN 2256-2087

Abstract

ALONSO, María Alonso et al. Intraoperative adenosine for pheochromocytoma with myocardial infarction and SARS-CoV-2. Case report. Rev. colomb. anestesiol. [online]. 2022, vol.50, n.3, e501.  Epub July 28, 2022. ISSN 0120-3347.  https://doi.org/10.5554/22562087.e1015.

Pheochromocytomas are neuroendocrine tumors capable of synthetizing, storing and releasing catecholaminergic hormones that may lead to lifethreatening hemodynamic instability. The COVID-19 pandemic has increased the risks and perioperative complexity of the patients undergoing pheochromocytoma-associated adrenalectomy. This article discusses the use of adenosine for the management of hypertensive crisis during this intervention, as well as the need to individualize the suitable timing for surgery after recent COVID-19 infection.

This article discusses the case of a patient with a finding of right adrenal incidentaloma; further studies determined a metanephrines secreting pheochromocytoma. Following hospital admission for preoperative optimization, the eve of the procedure the patient developed an acute myocardial infarction and subsequently SARS-CoV-2 symptomatic infection. Intraoperatively, hypertensive peaks were managed with continuous adenosine perfusion. The patient was discharged after 48 hours.

Preoperative optimization positively influences the intraoperative management of patients with pheochromocytoma. The intraoperative use of adenosine allows for adequate and safe control of hypertensive crises. Each situation must be individualized in patients pending surgery, with a recent COVID-19 infection.

Keywords : Pheochromocytoma; COVID-19; Catecholamine; Hemodynamic monitoring; Adenosine triphosphate; Adrenergic antagonists; Anesthesiology.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )