Why the study?
Giant ovarian cystadenomas can cause profound cardiovascular and respiratory compromise via inferior vena cava compression, lung restriction, and cardiac tamponade, requiring preoperative optimization and physiological assessment to guide safe anesthesia and surgery.
A choreographed physiological assessment strategy can help manage the profound cardiovascular compromise caused by giant abdominal neoplasms during surgery.
Expedited optimization may aid tamponade cases from giant cysts; leaves open need for prospective validation of this strategy.
Giant ovarian cystadenoma is a rare and often late presentation. The mass effect of such tumors can lead to profound respiratory and cardiovascular compromise, predominately through inferior vena cava compression, but also restriction of normal lung function through transdiaphragmatic mass effect and, as is seen in this case, cardiac tamponade. In this article, the authors outline an expedited program of preoperative optimization and a choreographed physiological assessment strategy to functionally assess the hemodynamic consequences of a giant ovarian mucinous neoplasm, thereby informing the safe conduct of anesthesia and surgery.
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Miles et al. (2019) studied this question.
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