Anaesthetic challenges in carotid body tumour resection: a case report and review of literature
DOI:
https://doi.org/10.18203/2320-6012.ijrms20151466Keywords:
Carotid body tumour, Hypotensive anaesthesia, Dexmedetomidine, Atrial fibrillation, Cranial nerve injuryAbstract
Carotid body tumour (CBT) is an extremely rare, non-chromaffin paraganglioma arising from chemoreceptor cells at the carotid bifurcation. Reported incidence is 1-2 per 100,000. Surgical excision of the tumour, the definitive treatment, poses several anaesthetic challenges and a high incidence of perioperative morbidity and mortality (20-40%). Very few cases have been reported so far. We report the anaesthetic management of a case of CBT excision with a review of recent literature on the same.
Metrics
References
Sevilla Garcia MA, Llorente Pendas JL, Rodrigo Tapia JP, Garcia Rostan G, Suarez Fente V, Coca Pelaz A. Head and neck paragangliomas: Revision of 89 cases in 73 patients. Acta Otorrinolaringol Esp. 2007;58:94–100.
Hallet JW, Nora JD, Hollier LH, Cherry KJ, Pairolero PC. Trends in neurovascular complication of surgical management for carotid body and cervical paragangliomas: A fifty year experience with 153 tumours. J Vasc Surg. 1988;7:284–91.
Milewski C. Morphology and clinical aspects of paragangliomas in the area of head-neck. HNO. 1993;41:526-31.
Guyton AC. Textbook of medical physiology. 11th ed. Philadelphia: Saunders; 2006. Nervous regulation of circulation and rapid control of arterial pressure; pp. 211–2.
Kafie FE, Freischlag JA. Carotid Body Tumors: The Role of Preoperative Embolization. Ann Vasc Surg. 2001;15:237-42.
Wright DJ, Pandya A, Noel F. Anaesthesia for carotid body resection. A case report and review of the literature. Anaesthesia. 1979;34;806-8.
Davidovic LB, Djukic VB, Vasic DM, Sindjelic RP, Duvnjak SN. Diagnosis and treatment of carotid body paraganglioma: 21 years of experience at a clinical center of Serbia World Journal of Surgical Oncology. 2005;3:10.
Sharma D, Chaudhary H, Aneja S. Carotid body tumour - A rare case report. IOSR Journal of Dental and Medical Sciences. 2012;2(1):4-7.
Van den Berg R. Imaging and management of head and neck paragangliomas. Eur Radiol. 2005;15:1310–8.
Karigar SL, Kunakeri S, Shetti AN. Anesthetic management of carotid body tumor excision: A case report and brief review. Anesth Essays Res. 2014;8(2):259–62.
Clarke AD, Matheson H, Boddie HG. Removal of a catecholamine secreting chemodectoma. Anaesthesia. 1976;31,1225-30.
Hamberger CA, Hamberger CB, Wersall J, Wagermark J. Malignant catecholamine producing tumour of the carotid body. Acta Pathologica et Microbiologica Scandinarica. 1967;69.489-92.
Berdal P, Braaten M, Cappelen C, Jr Mylius EA, Walaas 0. Noradrenaline - adrenaline producing nonchromaffin paraganglioma. Arta Medica Scandinavica. 1962;172:249-57.
Rosa M, Sahoo S. Bilateral carotid body tumour: The role of fine needle aspiration biopsy in the preoperative diagnosis. Diagn Cytopathol. 2008;36:178–80.
Ma D, Liu M, Yang H, Ma X, Zhang C. Diagnosis and surgical treatment of carotid body tumor: A report of 18 cases. J Cardiovasc Dis Res. 2010;1:122–4.
Wang SJ, Wang MB, Barauskas TM, Calcaterra TC. Surgical management of carotid body tumors. Otolaryngol Head Neck Surg. 2000;123:202–6.
Plukker JT, Brongers EP, Vermey A, Krikke A, van den Dungen JJ. Outcome of surgical treatment for carotid body paraganglioma. Br J Surg. 2001;88:1382–6.
Westerband A, Hunter GC, Cintora I, Coulthard SW, Hinni ML, Gentile AT, et al. Current trends in the detection and management of carotid body tumors. J Vasc Surg. 1998;28:84–93.
Arya S, Rao V, Juvekar S, Dcruz AK. Carotid body tumors: objective criteria to predict the Shamblin group on MR imaging. AJNR Am J Neuroradiol. 2008 Aug. 29(7):1349-54.
Jagtap SR, Bakhshi RG, Khatavkar SS, Phadtare SJ, Mohite SN. Carotid body tumour excision: Anaesthetic challenges and review of literature. Indian J Anaesth. 2013;57:76–8.
Tamai H, Kuribayashi T, Sawamura S, Sumida T, Chinzei M, Hanaoka K. Perioperative treatment for carotid endarterectomy with induced mild hypothermia: A case report. Masui. 2002;31:1132–6.
Wee DT, Goh CH. Current concepts in the management of carotid body tumors. Med J Malaysia. 2010;65:268–71.