Dilated cardiomyopathy in a child with abdominal neuroblastoma and normal serum catecholamine levels: anaesthetic management and review of literature

Authors

  • Anuradha Ganigara ndira Gandhi Institute of Child Health http://orcid.org/0000-0003-3974-9361
  • Chandrika Yabagodu Ramavakoda Indira Gandhi Institute of Child Health
  • Chandana M Srinivasan Indira Gandhi Institute of Child Health
  • Madhusudan Ganigara Mount Sinai Medical Center

Keywords:

anaesthesia, catecholamines, child, dilated cardiomyopathy, neuroblastoma

Abstract

Neuroblastoma is the most common extracranial solid tumour of childhood. Dilated cardiomyopathy as an initial presentation of neuroblastoma is rare. We report the case of a three-year-old child with giant abdominal neuroblastoma encasing the abdominal aorta who presented with dilated cardiomyopathy in heart failure without hypertension or elevated serum catecholamine levels. The probable pathophysiological mechanism for such an occurrence and review of similar cases along with perioperative management is presented. (Full text available online at www.medpharm.tandfonline.com/ojaa) South Afr J Anaesth Analg 2017; DOI: 10.1080/22201181.2017.1283742

Author Biographies

Anuradha Ganigara, ndira Gandhi Institute of Child Health

Assistant Professor Department of Pediatric Anesthesiology Indira Gandhi Institute of Child Health South Hospital Complex Dharmaram College Post Bangalore Karnataka

Chandrika Yabagodu Ramavakoda, Indira Gandhi Institute of Child Health

Professor and Head of Department Department of Pediatric Anesthesiology Indira Gandhi Institute of Child Health South Hospital Complex Dharmaram College Post Bangalore Karnataka

Chandana M Srinivasan, Indira Gandhi Institute of Child Health

Department of Pediatric Anesthesiology Indira Gandhi Institute of Child Health South Hospital Complex Dharmaram College Post Bangalore Karnataka

Madhusudan Ganigara, Mount Sinai Medical Center

Department of Pediatrics Mount Sinai Medical Center New York

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Published

2017-03-24

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Section

Case Studies