Anaesthetic management of a large paraganglioma resection in a woman with isolated L-looped transposition of the great arteries: a case report.

ABSTRACT:

Background

Reports of anaesthetic management of paraganglioma resection in patients with isolated L-transposition of the great arteries (L-TGA) are rare. We focus on the preoperative evaluation, intraoperative management, and postoperative care of a frail patient with "physiologically corrected" L-TGA for paraganglioma resection.

Case presentation

We performed general anaesthesia for a 46-year-old patient with "physiologically corrected" L-TGA undergoing open large retroperitoneal paraganglioma resection. Although the preoperative medical therapy had attained its goals, the patient went through three periods of severe episodic hypertension and tachycardia as tumour manipulation released catecholamines. Goal-directed fluid therapy based on pulse pressure variation (PPV) and p

SUBMITTER: Lan L 

PROVIDER: S-EPMC7132883 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature