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

Fouad Ghazi Souki, Michael Demos, Lilibeth Fermin, Gaetano Ciancio

Annals of Cardiac Anaesthesia 2016 19(4):740-743

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.

from Anaesthesiology via xlomafota13 on Inoreader http://ift.tt/2dLYQXQ
via IFTTT