Korean J Anesthesiol.  1994 Aug;27(8):1014-1017. 10.4097/kjae.1994.27.8.1014.

Myocardial infarction in a Pregnant Woman with Pheochromocytoma

• Kim SW
• Lim HJ
• Chang SH
• Cho H
• Kong MH
• Kim NS

• KMID: 1934547
• DOI: http://doi.org/10.4097/kjae.1994.27.8.1014

Abstract

A 36-year-old woman (para 1-0-2-1) was transferred to Korea University Hospital at 38 weeks gestation for dyspnea and chest pain. On admission, her blood pressure ranged from 130/ 70 to 230/130 mmHg, the heart rate was 144 beats/min and respiratory rate was 36/min. The ECG pattern, serum creatinine phosphokinase and lactic dehydrogenase levels were consistent with acute myocardial infarction. The baby was delivered by cesarean section under general anesthesia with nitroglycerin and propranolol support, After delivery, the patient was diagnosed as having pheochromocytoma by hormone study, abdominal magnetic resonance imaging, and computerized tomography scan. Removal of tumor was suceessfully done under combined general and epidural anesthesia after preoperative preparation with phenoxybenzamine and propranolol for two weeks. Postanesthetic recovery was uneventful.

Keyword

Myocardial infarction; Pheochromocytoma; Pregnancy; Cesarean section

MeSH Terms

Adult
Anesthesia, Epidural
Anesthesia, General
Blood Pressure
Cesarean Section
Chest Pain
Creatinine
Dyspnea
Electrocardiography
Female
Heart Rate
Humans
Korea
Magnetic Resonance Imaging
Myocardial Infarction*
Nitroglycerin
Oxidoreductases
Phenoxybenzamine
Pheochromocytoma*
Pregnancy
Pregnant Women*
Propranolol
Respiratory Rate
Creatinine
Nitroglycerin
Oxidoreductases
Phenoxybenzamine
Propranolol