PMC6110996_01
Perioperative haemodynamics of Case 1.. P: pre-anaesthesia; Id: anaesthesia induction; It: endotracheal intubation; Ic: skin incision; S: sternotomy; Pc: pericardiotomy; C: cannulation; Cs: start CPB; Ac: aorta clamping; T: tumour manipulation; R: tumour excision; Au: aorta unclamping; W: weaning from CPB; L: leave for ICU; P1: postoperative day 1; P2: postoperative day 2; P3: postoperative day 3.. **BP suddenly increased to 170/100 mmHg when the surgeon separated the tumour from surrounding tissue before aortic cannulation. Total intravenous esmolol 40 mg and fentanyl 300 mug were administered.
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However, in Case 1, during dissection of the tumour prior to aortic cannulation, blood pressure rose abruptly to 170/100 mmHg (Fig. 1).
Perioperative haemodynamics of Case 3.. P: pre-anaesthesia; Id: anaesthesia induction; It: endotracheal intubation; Ic: skin incision; S: sternotomy; Pc: pericardiotomy; C: cannulation; Cs: start CPB; Ac: aorta clamping; T: tumour manipulation; R: tumour excision; Au: aorta unclamping; W: weaning from CPB; L: leave for ICU; P1: postoperative day 1; P2: postoperative day 2; P3: postoperative day 3.. **BP increased abruptly during pericardiotomy, phentolamine total 4 mg was administered intravenously.
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This was stabilised with phentolamine (4 mg) (Fig. 2).
Primary cardiac phaeochromocytoma originating from the root of the aorta and the outflow tract of the right ventricle observed in Case 3.
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An image of the cardiac tumour visualised in Case 3 is shown in Fig. 3.