Key result
Transoesophageal echocardiography allowed the immediate diagnosis and appropriate management of acute intraoperative pulmonary tumour embolism during renal cell carcinoma resection.
Case Report (n=1)
Transoesophageal echocardiography is a valuable tool for the immediate diagnosis of intraoperative pulmonary tumour embolization, enabling prompt management of haemodynamic instability.
May aid intraoperative tumour embolism diagnosis in RCC resection; single case leaves open routine TEE adoption.
Malignant neoplasms such as renal cell carcinoma may invade the inferior vena cava leading to a risk of pulmonary tumour embolization during surgical excision. Although massive pulmonary tumour embolism occurs relatively rarely, it can have catastrophic consequences. We report the case of an acute intraoperative pulmonary tumour embolism during resection of a renal cell carcinoma. The use of transoesophageal echocardiography allowed the immediate diagnosis and appropriate management of the underlying cause of acute haemodynamic instability. The role of transoesophageal echocardiography in the diagnosis of pulmonary embolism is discussed.
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Larney et al. (2006) conducted a case report in Intraoperative pulmonary tumour embolization during renal cell carcinoma resection (n=1). Transoesophageal echocardiography was evaluated on Diagnosis and management of acute haemodynamic instability. Transoesophageal echocardiography allowed the immediate diagnosis and appropriate management of acute intraoperative pulmonary tumour embolism during renal cell carcinoma resection.
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