Cardiac paraganglioma: stent in right coronary artery prior to surgery resection

Eur J Cardiothorac Surg. 2021 Sep 11;60(3):719-720. doi: 10.1093/ejcts/ezab123.

Abstract

Cardiac paragangliomas are extremely rare. Sometimes surgical resection is a challenge owing to the proximity of vital structures and coronary arteries involvement. We report a case of a 34-year-old man with cardiac paragangliomas located between right atrium and right ventricle with a feeding blood supply from collaterals of the right coronary artery. In this case, we implanted a covered single stent (PK Papyrus®) in the right coronary artery with the objective of embolizing collateral branches and to reinforce the coronary artery wall. Although tumour mass was not reduced, vascularization was minimized, and this hybrid strategy made the surgery easier and safer.

Keywords: Cardiac paragangliomas; Embolization; Resection.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery
  • Heart Atria / diagnostic imaging
  • Heart Atria / surgery
  • Heart Neoplasms* / diagnostic imaging
  • Heart Neoplasms* / surgery
  • Humans
  • Male
  • Paraganglioma*
  • Stents