Pheochromocytoma are catecholamine-secreting tumors occurring in less
than 1% of the hypertensive population. Even though more sensitive met
hods have facilitated the diagnosis of intrathoracic paragangliomas th
ey still remain extremely rare, This study reports a patient with a ca
rdiac pheochromocytoma in whom the tumor was located on the outside of
the roof of the left atrium and involved the left main coronary arter
y, Due to this anatomy the resection of the tumor required a cardio-pu
lmonary bypass and transsection of the pulmonary artery, The postopera
tive course was uneventful and the patient could be discharged without
significant hypertension.