Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.09.007
Brazilian Journal of Anesthesiology
Case Report

Acute left heart failure with pulmonary edema during resection of pediatric neuroblastoma: case report

Insuficiência cardíaca esquerda aguda com edema pulmonar durante ressecção de neuroblastoma pediátrico: relato de caso

Shan Gao, Youjing Dong

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Abstract

Resection of an unknown neck mass in a 6-year-old child triggered acute left-sided heart failure and pulmonary edema. The lesion was confirmed as neuroblastoma by postoperative tissue examination. Such tumors regularly synthesize and secrete catecholamines, warranting caution in advance of surgical manipulation.

Keywords

Pediatrics;  Tumor;  Heart failure;  Hemodynamic monitoring;  Case report

Resumo

A ressecção de uma massa cervical desconhecida em uma criança de 6 anos de idade desencadeou insuficiência cardíaca esquerda aguda e edema pulmonar. A lesão foi
confirmada como neuroblastoma pelo exame de tecido pós-operatório. Esses tumores regularmente sintetizam e secretam catecolaminas, garantindo cautela antes da manipulação
cirúrgica.

Palavras-chave

Pediatria; Tumor; Insuficiência cardíaca; Monitoramento hemodinâmico; Relato de caso

References

1. Castel V, Grau E, Noguera R, et al. Molecular biology of neuroblastoma. Clin Transl Oncol. 2007;9:478---83.
2. Martín Vivas A, Saboya Sánchez S, Pati˜no Rodríguez M, et al. Hemodynamic monitoring: PiCCO system. Enfermeria intensiva.
2008;19:132---40.
3. Roeleveld PP, de Klerk JCA. The Perspective of the Intensivist on Inotropes and Postoperative Care Following Pediatric Heart Surgery: An International Survey and Systematic Review of the Literature. World J Pediatr Congenit Heart Surg. 2018;9:10---21.
4. Endo Y, Kitago M, Shinoda M, et al. Extra-adrenal pheochromocytoma with initial symptom of haemoptysis: a case report and review of literature. BMC Surg. 2021;21:13.
5. Farmakis D, Agostoni P, Baholli L, et al. A pragmatic approach to the use of inotropes for the management of acute and advanced heart failure: an expert panel consensus. Int J
Cardiol. 2019;297:83---90.


Submitted date:
04/20/2020

Accepted date:
09/11/2021

615ef00fa953950a58573313 rba Articles

Braz J Anesthesiol

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