Key result
Radical resection of intra-abdominal sarcomas with inferior vena caval thrombectomy was successfully performed in two patients using cardiopulmonary bypass and deep hypothermic circulatory arrest.
Case Report (n=2)
Complex surgical procedures for intra-abdominal malignancies with cardiac involvement can be successfully managed with a multidisciplinary approach including cardiopulmonary bypass and deep hypothermic circulatory arrest.
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Demonstrates technical feasibility in select cases; leaves open need for larger studies on safety and outcomes.
Summary As imaging and diagnostic capabilities improve, an increasing number of patients will present for complex surgical procedures requiring a multidisciplinary team approach. Atrial tumour thrombus secondary to intra‐abdominal malignancy presents major challenges for both anaesthetic and surgical management. This often requires the use of both cardiopulmonary bypass and deep hypothermic circulatory arrest. We describe the anaesthetic management of two rare intra‐bdominal sarcomas with cardiac involvement. Both patients underwent successful radical resection of sarcoma with inferior vena caval thrombectomy. We also review the available literature regarding the management of these patients.
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Lee et al. (2016) conducted a case report in Intra-abdominal sarcomas with cardiac involvement (n=2). Radical resection of sarcoma with inferior vena caval thrombectomy was evaluated on Successful radical resection. Radical resection of intra-abdominal sarcomas with inferior vena caval thrombectomy was successfully performed in two patients using cardiopulmonary bypass and deep hypothermic circulatory arrest.
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