We report the case of a 75-year-old male patient who underwent bypass surgery. Intraoperatively
unstable hemodynamics with excessive arterial blood pressure was observed. This resulted
in the tearing of an anastomosis, which subsequently required hemostasis for repeated
bleeding. Postoperatively, laboratory findings and diagnostic imaging confirmed the
diagnosis made intraoperatively of a pheochromocytoma. Any surgery without awareness
of the possibility of a pheochromocytoma will dramatically increase intraoperative
and postoperative morbidity and mortality, especially in cardiac surgery. The uncontrolled
release of catecholamines raises arterial blood pressure which can become life-threatening
and lead to serious intraoperative complications, as well as cerebrovascular and cardiac
comorbidity.
Cardiopulmonary bypass (CPB) - hypertension - CABG
