Anesthetic management for off-pump coronary artery bypass grafting in a patient with a pheochromocytoma and followed by the resection of the pheochromocytoma

摘要

We successfully treated a 61-year-old woman with a pheochromocytoma and angina. We administered doxizosin mesilate for a month to achieve a good control of blood pressure and CABG was followed without any problems. After 3 months, pheochromocytoma was resected. There were no cardiac ischemia during both operations. We believe that it is very important to control blood pressure and to determine which operation, CABG or the pheochromocytoma resection, should be performed first, in these cases.