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Eur J Cardiothorac Surg 2007;32:940-942. doi:10.1016/j.ejcts.2007.08.026
Copyright © 2007, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Fabio Miraldi
Michele Toscano
Antonio Barretta
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Case reports

Black cardiac paraganglioma in a multiple paraganglioma syndrome

Fabio Miraldia,*, Chiara Taffonb, Michele Toscanoa, Antonio Barrettaa

a Department of Heart and Great Vessels "Attilio Reale", University "La Sapienza", Rome, Italy
b Department of Experimental Medicine and Pathology, University "La Sapienza", Rome, Italy

Received 28 June 2007; received in revised form 20 August 2007; accepted 21 August 2007.

* Corresponding author. Address: Dipartimento del Cuore e Grossi Vasi "Attilio Reale", Policlinico Umberto I. Viale del Policlinico 155, 00161 Rome, Italy. Tel.: +39 0649972693; fax: +39 0649972410. (Email: fabio.miraldi{at}uniroma1.it).

We describe a unique case of a patient with a ‘pigmented’ cardiac paraganglioma in a multiple paraganglioma syndrome. She was symptomatic for arrhythmias, hypertensive crises and dyspnoea due to a cardiac tumour, which was richly vascularised from the right coronary artery and was partially obstructing the right atrioventricular inflow. She was operated on, but the mass was not completely resectable due to its relationship with cardiac structures. The histological findings were paraganglioma with abundant, dark granular pigment. To our knowledge, pigment presence has never been cited in surgical cases of cardiac paragangliomas.

Key Words: Cardiac tumour • Magnetic resonance angiography • Neuroendocrine tumour






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Copyright © 2007 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.