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

Fouad Ghazi Souki1, Michael Demos1, Lilibeth Fermin1, Gaetano Ciancio2
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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  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008

 

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Fouad Ghazi Souki1, Michael Demos1, Lilibeth Fermin1, Gaetano Ciancio2
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.






[FULL TEXT] [PDF]*


        
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  Sitemap | Feedback | Disclaimer | What's New |  
  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008