Paraganglioma review: A clinical case

Introduction: Paragangliomas are rare neuroendocrine tumours that can release catecholamines giving place to hypertensive crises and arrhythmias. Haemodynamic instability suppose a challenge for anaesthesiologists.Clinical case: 54 years old woman scheduled for resection of a mediastinal paraganglioma located between vital structures. alpha-blockage was prescribed before surgery. Advanced monitoring was made during anaesthetic management. Extracorporeal circulatory support was necessary due to the haemodynamic instability and location of the tumour near vital structures.Discussion: We present a review about general management in paragangliomas, focussing on anaesthetic monitoring. The mediastinal location of the tumour requires a special evaluation of the airway and the possibility of extracorporeal assistance.Conclusion: Paraganglioma surgery requires and advanced monitoring and knowledge of physiopathology to reduce the mortality and morbidity. (C) 2014 Elsevier Ltd. All rights reserved.