Baroreceptor failure syndrome after bilateral carotid body tumor surgery.

Abstract

A 41-year-old healthy man was diagnosed with bilateral carotid body tumors. The patient had a staged surgical removal of the tumors approximately 8 months apart. Postoperative recovery was uneventful after removal of the first and largest tumor; however, after removal of the second tumor, the patient developed tachycardia and hypertension. He was diagnosed with baroreceptor failure syndrome after ruling out other possible causes. Baroreceptor failure syndrome is a rare and important complication known to be associated with many conditions, one of them being inadvertent baroreceptor denervation during bilateral carotid body tumor resection. Medical management of this condition is necessary to prevent cerebrovascular events; thus, it is important for the surgeon and the internist to recognize and treat it aggressively.

• Authors: Ilia Gur, Steven Katz
• Journal: Annals of vascular surgery (Ann Vasc Surg) Vol. 24 Issue 8 Pg. 1138.e1-3 (Nov 2010) ISSN: 1615-5947 [Electronic] Netherlands
• PMID: 21035715 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.

Chemical References

• Adrenergic beta-Antagonists
• Anti-Arrhythmia Agents
• Antihypertensive Agents

Topics

• Adrenergic beta-Antagonists (therapeutic use)
• Adult
• Anti-Arrhythmia Agents (therapeutic use)
• Antihypertensive Agents (therapeutic use)
• Autonomic Denervation (adverse effects)
• Baroreflex (drug effects)
• Blood Pressure
• Carotid Body Tumor (diagnostic imaging, surgery)
• Heart Rate
• Humans
• Hypertension (drug therapy, etiology, physiopathology)
• Male
• Syndrome
• Tachycardia (drug therapy, etiology, physiopathology)
• Tomography, X-Ray Computed
• Treatment Outcome
• Vascular Surgical Procedures (adverse effects)