Innovative approach to a functional mediastinal paraganglioma with anomalous coronary supply: a case report.

ABSTRACT:

Background

Mediastinal paragangliomas (PGs) are rare and particularly challenging neuroendocrine tumours. Clinical presentation is heterogeneous and tumour resection can be challenging due to bleeding and the risk of catecholamine surges in functional tumours.

Case summary

A 36-year-old man with multiple cardiovascular risk factors was admitted with subacute heart failure. Investigations revealed a large non-metastatic functional mediastinal PG irrigated mainly by a left circumflex coronary anomalous feeder branch. The surgical risk was deemed very high due to patient comorbidities, tumour vascularization, and close relation to major thoracic structures. A multidisciplinary team decided to perform embolization of the anomalous coronary branch followed by peptide-receptor rad

SUBMITTER: Trepa M 

PROVIDER: S-EPMC7319854 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature