Key result
Multidisciplinary surgical removal of a renal cavoatrial tumor thrombus during partial cardiopulmonary bypass without circulatory arrest was successfully managed with continuous TEE monitoring.
Case Report (n=1)
This case demonstrates the importance of multidisciplinary anesthetic management and continuous transesophageal echocardiography monitoring during the surgical resection of renal cell carcinoma with cavoatrial tumor thrombus.
Supports feasibility of partial CPB without arrest in select cases; hypothesis-generating and should not change practice without larger series.
Anesthetic management of renal cavoatrial tumor thrombus during partial cardiopulmonary bypassKısmi kardiyopulmoner baypas sırasında renal kavoatriyal tümör trombozunun anestezi yönetimi Şerife Gökbulut Bektaş, Mine Altınkaya Çavuş, Sema Turan ÖZ Elli sekiz yaşında erkek hastada kardiyopulmoner baypas sırasında dolaşım arresti olmaksızın kavoatriyal trombus ve renal tümörlerin cerrahi olarak çıkarılması planlandı.Ameliyat süresince transözofageal ekokardiyografi ile pulmoner emboli açısından sürekli takip yapıldı.Ameliyat anesteziyoloji uzmanları, üroloji uzmanları ve kalp damar ve gastrointestinal cerrahlarından oluşan multidisipliner bir ekip tarafından başarıyla gerçekleştirildi.Bu olgu, kavoatriyal trombüslü renal hücreli karsinom hastalarında anestezi yönetiminin önemini göstermektedir.
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Şerife Gökbulut Bektaş (2018) conducted a case report in Renal cell carcinoma with cavoatrial tumor thrombus (n=1). Anesthetic management with transesophageal echocardiography monitoring was evaluated on Successful surgical removal without circulatory arrest. Multidisciplinary surgical removal of a renal cavoatrial tumor thrombus during partial cardiopulmonary bypass without circulatory arrest was successfully managed with continuous TEE monitoring.
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