Role of Multimodality Imaging and Preoperative Management in Intrapericardial Paragangliomas: Experience From a Case Series

Jwan A Naser; Martin van Zyl; Lucinda M Gruber; Rajiv Gulati; Paul A Friedman; William F Young Jr; Pouya Hemmati; Thomas A Foley; Hartzell V Schaff; Juan A Crestanello; Sorin V Pislaru

doi:10.1016/j.jaccas.2022.04.014

Role of Multimodality Imaging and Preoperative Management in Intrapericardial Paragangliomas: Experience From a Case Series

JACC Case Rep. 2022 Jul 20;4(14):871-877. doi: 10.1016/j.jaccas.2022.04.014.

Authors

Affiliations

¹ Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
² Department of Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
³ Department of Endocrinology and Metabolism, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
⁴ Department of Cardiovascular Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
⁵ Department of Radiology, Mayo Clinic College of Medicine, Rochester, Minnesota.

Abstract

Intrapericardial paragangliomas are rare, highly vascular tumors that frequently adhere to adjacent structures and blood vessels, making surgical resection challenging. In this case series, we discuss the role of multimodality imaging and preoperative embolization in the management of 3 patients presenting with intrapericardial paragangliomas. (Level of Difficulty: Advanced.).

Keywords: CMR, cardiac magnetic resonance; CPB, cardiopulmonary bypass; CT, computed tomography; FDG, fluorodeoxyglucose; LCX, left circumflex artery; PET, positron emission tomography; PGL, paraganglioma; RCA, right coronary artery; TTE, transthoracic echocardiography; cardiac magnetic resonance imaging; computed tomography; echocardiography; embolization; paraganglioma; surgical resection.

Publication types

Case Reports