Korean J Anesthesiol.  1997 Mar;32(3):478-481. 10.4097/kjae.1997.32.3.478.

Renovascular Hypertension Associated with Pheochromocytoma: A case report

• Kim ES
• Cho JH
• Lee JM

• KMID: 2033339
• DOI: http://doi.org/10.4097/kjae.1997.32.3.478

Abstract

The coexistence of pheochromocytoma and renal artery stenosis has been recognized since 1958, but it is rare. We have experienced an anesthetic management of 43-year-old female patient of renovascular hypertension associated with right adrenal pheochromocytoma. Proper preoperative preparation, sufficient sedation, smooth induction, complete analgesia and good muscle relaxation were very important. Relative cardiovascular stability was achieved with sodium nitroglycerine, sodium nitroprusside and verapamil during tumor manipulation. After the tumor was removed, we could control the hypotension with dopamine, dobutamine, crystalloid and colloid. On the operative field there was no definite anatomic stenosis of renal artery and it was suggested that leakage of catecholamines from pheochromocytoma causes functional, reversible spasm of renal artery and thus renovascular hypertension.

Keyword

Surgery; pheochromocytoma; renal artery stenosis

MeSH Terms

Adult
Analgesia
Catecholamines
Colloids
Constriction, Pathologic
Dobutamine
Dopamine
Female
Humans
Hypertension, Renovascular*
Hypotension
Muscle Relaxation
Nitroglycerin
Nitroprusside
Pheochromocytoma*
Renal Artery
Renal Artery Obstruction
Sodium
Spasm
Verapamil
Catecholamines
Colloids
Dobutamine
Dopamine
Nitroglycerin
Nitroprusside
Sodium
Verapamil