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Transesophageal echocardiography-guided thrombectomy of intracardiac renal cell carcinoma without cardiopulmonary bypass


1 Department of Anesthesiology, University of Miami/Jackson Health System, Miami, Florida, USA
2 Department of Surgery, Division of Transplantation, Miami Transplant Institute, University of Miami/Jackson Health System, Miami, Florida, USA

Correspondence Address:
Fouad Ghazi Souki
Department of Anesthesiology, University of Miami/Jackson Health System, 1611 NW 12th Avenue, 318 DTC, Miami, Florida 33136
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.191571

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Year : 2016  |  Volume : 19  |  Issue : 4  |  Page : 740-743

 

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Advanced renal cell carcinoma (RCC) resection has important anesthetic management implications, particularly when tumor extends, suprahepatic, into the right atrium. Use of transesophageal echocardiogram (TEE) is essential in identifying tumor extension and guiding resection. Latest surgical approach avoids venovenous and cardiopulmonary bypass yet requires special precautions and interventions on the anesthesiologist's part. We present a case of Level IV RCC resected without cardiopulmonary bypass and salvaged by TEE guidance and detection of residual intracardiac tumor.






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1 Department of Anesthesiology, University of Miami/Jackson Health System, Miami, Florida, USA
2 Department of Surgery, Division of Transplantation, Miami Transplant Institute, University of Miami/Jackson Health System, Miami, Florida, USA

Correspondence Address:
Fouad Ghazi Souki
Department of Anesthesiology, University of Miami/Jackson Health System, 1611 NW 12th Avenue, 318 DTC, Miami, Florida 33136
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.191571

Rights and Permissions

Advanced renal cell carcinoma (RCC) resection has important anesthetic management implications, particularly when tumor extends, suprahepatic, into the right atrium. Use of transesophageal echocardiogram (TEE) is essential in identifying tumor extension and guiding resection. Latest surgical approach avoids venovenous and cardiopulmonary bypass yet requires special precautions and interventions on the anesthesiologist's part. We present a case of Level IV RCC resected without cardiopulmonary bypass and salvaged by TEE guidance and detection of residual intracardiac tumor.






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