Contemporary surgical management of cardiac paragangliomas

Ann Thorac Surg. 2012 Jun;93(6):1972-6. doi: 10.1016/j.athoracsur.2012.02.040. Epub 2012 Apr 25.

Abstract

Background: Cardiac paragangliomas are an extremely rare subset of chromaffin cell tumors that develop from neural crest cells.

Methods: Between March 2004 and October 2010, 7 male patients from our two institutions who underwent surgical resection of cardiac paraganglioma were retrospectively reviewed.

Results: In 5 patients, paragangliomas originated from the roof of the left atrium, and in 2 patients, they originated from the aortic root. Hospital mortality was 14%.

Conclusions: Complete surgical resection remains the mainstay of therapy and can be curative, but carries a significant risk of intraoperative bleeding and usually requires cardiopulmonary bypass and often complex resection techniques, including cardiac autotransplantation.

MeSH terms

  • Adult
  • Aorta / pathology
  • Aorta / surgery*
  • Coronary Angiography
  • Follow-Up Studies
  • Heart Atria / pathology
  • Heart Atria / surgery*
  • Heart Neoplasms / blood supply
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery*
  • Humans
  • Male
  • Neoplasm, Residual / blood supply
  • Neoplasm, Residual / diagnosis
  • Neoplasm, Residual / pathology
  • Neoplasm, Residual / surgery
  • Paraganglioma, Extra-Adrenal / blood supply
  • Paraganglioma, Extra-Adrenal / diagnosis
  • Paraganglioma, Extra-Adrenal / pathology
  • Paraganglioma, Extra-Adrenal / surgery*
  • Reoperation
  • Retrospective Studies
  • Transplantation, Autologous