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August 26, 2026Discover OncologyOpen Access

Rare primary left atrial paraganglioma resected after preoperative coronary embolization: a case report

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Key result

Preoperative embolization and catecholamine monitoring enable successful resection of a rare left atrial paraganglioma.

  • n=1

Why the study?

Primary cardiac paragangliomas are exceedingly rare neuroendocrine tumors whose diagnosis and management remain challenging.

Population

A 23-year-old male with severe hypertension and a primary left atrial paraganglioma

Design

Case report

Authors

HTHuayi TanNorth China Electric Power UniversityYHYing HuCentral South UniversityXHXuanzhen HuCentral South University

Discussion

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Implication

Highlights preoperative embolization as a feasible strategy for rare cardiac paragangliomas.

Key Points

  • To report a staged management strategy involving preoperative coronary embolization and catecholamine stabilization prior to surgical resection of a rare primary left atrial paraganglioma.
  • Evaluated a 23-year-old male presenting with episodic chest pain and severe hypertension (210/140 mmHg).
  • Performed selective angiography and embolization of tumor-feeding coronary vessels alongside serial plasma catecholamine monitoring.
  • Conducted curative surgical tumor resection under cardiopulmonary bypass once catecholamine levels stabilized.
  • Preoperative embolization triggered a transient catecholamine surge, requiring surgery to be deferred until biochemical stabilization was confirmed.
  • Complete surgical resection resulted in successful extubation on postoperative day 2 and hospital discharge on postoperative day 9.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 23-year-old male with episodic chest pain, severe hypertension, and a primary left atrial paraganglioma.
I
Intervention
Preoperative selective angiography and embolization of tumor-feeding vessels, followed by serial plasma catecholamine monitoring and curative surgical resection under cardiopulmonary bypass once levels stabilized.
O
Outcome
Postoperative recovery and discharge

A combined approach of preoperative embolization and serial catecholamine monitoring before surgical resection offers a viable management strategy for rare primary cardiac paragangliomas.

Cite This Study

Tan et al. (2026) conducted a case report in Primary left atrial paraganglioma (n=1). Preoperative selective angiography and embolization followed by surgical resection was evaluated on Successful resection and recovery. Preoperative embolization and serial plasma catecholamine monitoring followed by surgical resection successfully treated a 23-year-old male with a rare primary left atrial paraganglioma.

synapsesocial.com/papers/6a8e9b79451774b83f3b43eahttps://doi.org/10.1007/s12672-026-05629-2
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