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KMID : 0352120160310010067
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Journal of Kyung Hee University
2016 Volume.31 No. 1 p.67 ~ p.71
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Hypertensive Crisis During Excision of Retroperitoneal Mass in Patients with Abdominal Aortic Aneurysm - A Case Report -
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Lee Mi-Hyeon
Jun Joo-Hyun
Choi Eun-Mi
Kim Eun-Mi
Choi Young-Ryong
Jeon Pil-Hyun
Baek Seung-Hwa
Chung Mi-Hwa
Kang Wha-Ja
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Abstract
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Paragangliomas are rare tumors that arise from extra-adrenal chromaffine tissues and that secrete catecholamine. The abnormal secretion of catecholamine can cause cardiovascular complications such as severe hypertension, cardiomyopathy, cardiac arrhythmia, and aortic aneurysm rupture. In particular, the risk of mortality and morbidity increases if the patient has not been diagnosed or if the preparation for a possible hypertensive crisis has been insufficient. Moreover, it can lead to high risks of cardiovascular complications if the patient has a concomitant disorder such as aortic aneurysm. We report a case of preoperatively undiagnosed paraganglioma that caused a hypertensive crisis during the surgical removal of a retroperitoneal mass and the repair of an infra-renal abdominal aortic aneurysm (AAA) and left common iliac artery aneurysm.
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KEYWORD
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Hypertensive crisis, Paraganglioma, Abdominal aortic aneurysm
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