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Case Reports
. 2004 Nov;90(11):e64.
doi: 10.1136/hrt.2004.041319.

Left atrial phaeochromocytoma

N Moorjani  1 , J Kuo, D Wilkins
Affiliations
Case Reports

Left atrial phaeochromocytoma

N Moorjani et al. Heart. 2004 Nov.

Abstract

Phaeochromocytomas of the heart are very rare. This report describes the case of a 69 year old woman presenting with persistent hypertension and a left atrial phaeochromocytoma diagnosed by 131I-metaiodobenzylguanidine scintigraphy scanning. She was successfully treated by surgical excision with the aid of cardiopulmonary bypass and perioperative alpha and beta adrenergic blockade.

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Figures

Figure 1
Figure 1
Iodine-131 labelled metaiodobenzylguanidine (MIBG) scintillation scan illustrating an area of intense uptake in the middle mediastinum. ANT, anterior; Lt, left; Rt, right.
Figure 2
Figure 2
Coronal and sagittal magnetic resonance imaging showing the left atrial phaeochromocytoma lying close to the pulmonary artery (arrows).
Figure 3
Figure 3
Intraoperative image showing the phaeochromocytoma attached to the superior aspect of the left atrium.
See this image and copyright information in PMC

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