Successful resection of pheochromocytoma in a hemodialysis patient

A 45-year-old woman with a pheochromocytoma who had been on regular hemodialysis for 4 years and underwent successful surgery is described. Careful preoperative management, including the use of prazosin and weight control, was carried out to prevent severe intraoperative and postoperative cardiovasc...

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Bibliographic Details
Published inAmerican journal of nephrology Vol. 12; no. 1-2; p. 111
Main Authors Yuasa, S, Bandai, H, Yura, T, Sumikura, T, Takahashi, N, Uchida, K, Yamamoto, N, Tanaka, H, Aono, M, Fujioka, H
Format Journal Article
LanguageEnglish
Published Switzerland 01.01.1992
Subjects
Adrenal Gland Neoplasms - complications
Adrenal Gland Neoplasms - surgery
Female
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - therapy
Middle Aged
Pheochromocytoma - complications
Pheochromocytoma - surgery
Preoperative Care
Renal Dialysis
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Summary:A 45-year-old woman with a pheochromocytoma who had been on regular hemodialysis for 4 years and underwent successful surgery is described. Careful preoperative management, including the use of prazosin and weight control, was carried out to prevent severe intraoperative and postoperative cardiovascular complications. Prazosin was given at an initial dose of 0.5 mg/day, and the dosage was increased to 20 mg/day prior to surgery. The increase in intravascular volume led to a gain of 3 kg in body weight. No deterioration of the cardiovascular or respiratory function was caused by these maneuvers, and surgery was performed without significant complications except for a rapid rise of blood pressure during tumor resection. To our knowledge, only one similar case report could be found in the English literature.
ISSN:0250-8095
1421-9670
DOI:10.1159/000168428