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Anesthetic Management of Staged Bilateral Adrenalectomy for Neuroendocrine Tumors in a Heart-Lung Transplant Patient

A Case Report

Liu, Amy C., MD*; Andrews, Gareth, MD*; Ben-Menachem, Erez, MD, FANZCA, FCICM*,†

doi: 10.1213/XAA.0000000000000800
Case Reports

Neuroendocrine tumors may rarely present after organ transplantation, including cardiac transplant. Treatment is surgical resection with careful perioperative management to optimize blood pressure and intravascular volume. We present the anesthetic management of a patient who was diagnosed with bilateral neuroendocrine tumors soon after heart-lung transplantation and underwent successful staged bilateral adrenalectomy.

From the *Department of Anesthesia, St Vincent’s Hospital, Sydney, Australia; and

School of Medicine, Notre Dame University, Sydney, Australia.

Accepted for publication April 12, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Erez Ben-Menachem, MD, FANZCA, FCICM, Department of Anesthesia, St Vincent’s Hospital, 390 Victoria St, Darlinghurst, Sydney, NSW 2010, Australia. Address e-mail to

© 2018 International Anesthesia Research Society
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