Key result
Advanced anesthetic monitoring and TEE enable successful metastatic RV tumor resection in 1 patient.
Why the study?
Cardiac metastasis involving the right ventricle and pulmonary artery is extremely rare and poses significant anesthetic challenges due to high risks of tumor embolization and hemodynamic instability.
Case Report (n=1)
No
Individualized anesthetic planning and intraoperative transesophageal echocardiography are crucial for safely managing the high embolic and hemodynamic risks of resecting intracardiac metastatic tumors.
May inform anesthetic strategies for rare metastatic RV tumors; leaves open generalizability and need for prospective validation.
Cardiac metastasis involving the right ventricle and pulmonary artery is extremely rare and poses significant anesthetic challenges due to the high risk of tumor embolization and hemodynamic instability. We report the anesthetic management of a patient with metastatic right ventricular tumor secondary to cervical cancer who underwent surgical resection. A 63-year-old woman with a history of cervical cancer presented with respiratory symptoms and was found to have a mobile mass involving the right ventricle and main pulmonary artery on imaging. Given the risk of sudden pulmonary embolism, surgical resection under cardiopulmonary bypass was undertaken. Anesthetic management emphasized careful induction, advanced monitoring including cerebral oximetry, and intraoperative transesophageal echocardiography to guide hemodynamic management and reduce embolic risk. The procedure was completed successfully, and the patient recovered without major complications. Histopathology confirmed metastatic squamous cell carcinoma. At eight-month follow-up, the patient was alive and receiving adjuvant chemotherapy. Intracardiac metastatic tumors with pulmonary artery involvement present substantial anesthetic risk. This case highlights the importance of individualized anesthetic planning, vigilant hemodynamic control, and echocardiographic guidance in achieving safe perioperative outcomes.
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Lin et al. (2026) conducted a case report in Metastatic right ventricular tumor and pulmonary tumor embolism secondary to cervical cancer (n=1). Anesthetic management and surgical resection was evaluated on Perioperative outcomes and recovery. Anesthetic management with advanced monitoring and transesophageal echocardiography enabled successful surgical resection of a metastatic right ventricular tumor in 1 patient.
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