ArticleJA clinical reports2026
Hemodynamic management, including for left ventricular outflow tract obstruction, in an infant with ACTH-independent Cushing syndrome undergoing adrenal tumor removal: a case report.
Article in JA clinical reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAdrenocorticotropic hormone (ACTH)-independent Cushing syndrome is extremely rare in children, with moon face, central obesity, buffalo hump, and hypertension as typical characteristics. We focused on perioperative hemodynamic management because this patient had left ventricular outflow tract obstruction (LVOTO), which is a rare sequela. CASE DESCRIPTION: A 6-month-old boy with ACTH-independent Cushing syndrome and sustained hypertension, with a cortisol level of 49.0 µg·dL
conclusionsAn excessive cortisol level with Cushing syndrome can rarely cause LVOTO in an infant. Not only airway management but also hemodynamic management, including preoperative management, would be essential.
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