Transesophageal echocardiography diagnosis of tricuspid obstruction by a vena cava tumour

Citation
Y. Blanloeil et al., Transesophageal echocardiography diagnosis of tricuspid obstruction by a vena cava tumour, CAN J ANAES, 48(4), 2001, pp. 401-404
Citations number
11
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
Journal title
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE
ISSN journal
0832610X → ACNP
Volume
48
Issue
4
Year of publication
2001
Pages
401 - 404
Database
ISI
SICI code
0832-610X(200104)48:4<401:TEDOTO>2.0.ZU;2-A
Abstract
Purpose: To present the anesthetic management for excision of a primary tum our of the inferior vena cava. Clinical features: Resection of a primary tumour of the inferior vena cava without extension to the right atrium was scheduled without extra-corporeal circulation (ECC). The operation consisted of tumour excision with transtu moral clamping. During the immediate postoperative period, tricuspid obstru ction was suspected when a "cannon a wave" was recorded from the right atri al pressure curve. Transesophageal echocardiography confirmed the diagnosis of tumour obstruction of the tricuspid valve. Conclusion: Tricuspid obstruction due to postoperative mobilization of a pr imary tumour of the inferior vena cava was diagnosed by transesophageal ech ocardiography. Perioperative management particularities of the primary tumo ur of the vena cava are discussed.