Key result
Transoesophageal echocardiography successfully diagnosed a rare secondary intraventricular tumour as the cause of severe intraoperative hypotension during a nephrectomy.
Case Report (n=1)
Transoesophageal echocardiography can be crucial for diagnosing rare cardiac causes of severe intraoperative hypotension during non-cardiac surgery.
May support TEE for unexplained intraoperative hypotension; leaves open broader adoption pending prospective data.
Transoesophageal echocardiography (TOE) is not commonly used in the management of non-cardiac cases. We report a case where the use of TOE played a major role in the intraoperative diagnosis and subsequent management of a patient exhibiting severe hypotension whilst undergoing a nephrectomy. The rare diagnosis of a secondary intraventricular tumour would not have been evident with more conventional monitoring techniques.
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Plowman et al. (1999) conducted a case report in Renal cell carcinoma with intraoperative hypotension (n=1). Transoesophageal echocardiography (TOE) was evaluated on Diagnosis of the cause of intraoperative hypotension. Transoesophageal echocardiography successfully diagnosed a rare secondary intraventricular tumour as the cause of severe intraoperative hypotension during a nephrectomy.
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