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Cesarean section at 28 weeks' gestation with resection of pheochromocytoma: perioperative antihypertensive management.

Kariya N, Nishi S, Hosono Y, Hamaoka N, Nishikawa K, Asada A

Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka 545-8586, Japan. n_kariya@hotmail.com

Pregnancy complicated by pheochromocytoma is potentially fatal. Pregnancy and labor increase the risk of hypertensive crisis as it may occur with the sudden release of catecholamine accompanying uterine contractility and straining. However, antepartum diagnosis reduces both maternal and fetal mortality, allowing for safe cesarean section and resection of tumor. We describe the management of perioperative hypertension for combined cesarean section and pheochromocytoma resection.

Published 13 June 2005 in J Clin Anesth, 17(4): 296-9.
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