Paraganglioma review: A clinical case

SummaryIntroductionParagangliomas are rare neuroendocrine tumours that can release catecholamines giving place to hypertensive crises and arrhythmias. Haemodynamic instability suppose a challenge for anaesthesiologists.Clinical case54 years old woman scheduled for resection of a mediastinal paraganglioma located between vital structures. α-blockage was prescribed before surgery. Advanced monitoring was made during anaesthetic management. Extracorporeal circulatory support was necessary due to the haemodynamic instability and location of the tumour near vital structures.DiscussionWe present a review about general management in paragangliomas, focussing on anaesthetic monitoring. The mediastinal location of the tumour requires a special evaluation of the airway and the possibility of extracorporeal assistance.ConclusionParaganglioma surgery requires and advanced monitoring and knowledge of physiopathology to reduce the mortality and morbidity.