Transpulmonary thermodilution hemodynamic monitoring for pheochromocytoma surgery in a child with complex congenital heart disease

• Published in: Pediatric anesthesia Vol. 16; no. 12; pp. 1277 - 1280
• Main Authors: CHERQAOUI, IMANE, RAUX, OLIVIER, DEHOUR, LAURENCE, ROCHETTE, ALAIN, DADURE, CHRISTOPHE, CAPDEVILA, XAVIER
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.12.2006; Blackwell
• Subjects: Adolescent; Adrenal Gland Neoplasms - complications; Adrenal Gland Neoplasms - surgery; Anesthesia; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Cardiac Output - physiology; Cardiac Surgical Procedures; child; Heart Defects, Congenital - complications; heart malformation; hemodynamic; Humans; Intraoperative Care; Male; Medical sciences; monitoring; Monitoring, Intraoperative - instrumentation; Monitoring, Intraoperative - methods; pediatric; pheochromocytoma; Pheochromocytoma - complications; Pheochromocytoma - surgery; Thermodilution; Endocrinopathy; Human; Pediatrics; Pheochromocytoma; Cardiovascular disease; hemodynamic; pediatric; Secretory tumor; Thermodilution; Malformation; Surgery; heart malformation; Anesthesia; Hemodynamics; Congenital cardiopathy; Child; Monitoring
• ISSN: 1155-5645; 1460-9592
• DOI: 10.1111/j.1460-9592.2006.01997.x

Summary Hemodynamic alterations related to pheochromocytoma surgery may lead to decompensation with an associated cardiac malformation. Moreover, they are incompletely described in children because of potential hazards of invasive monitoring. We report transpulmonary thermodilution hemodynamic monitoring during pheochromocytoma surgery in a child with a complex congenital heart malformation. Comprehensive analysis of hemodynamic events was obtained that guided therapeutic decisions. Cardiac function was preserved and no complication occurred.