Transesophageal echocardiography (TEE) as intraoperative monitoring for the resection of an intraatrial tumor

Fibrolamellar hepatocellular carcinomas (FLHCC) can grow into the inferior vena cava and the right atrium thus rendering it impossible to insert a pul monary artery catheter or increasing the risk of tumor embolisation. We rep ort of a young patient with intraatrial growth of a FLHCC where intraoperat ive transesophageal echocardiography (TEE) instead of a pulmonary artery ca theter for continuous monitoring of hemodynamics was used. Hemodynamic para meters as well as the surgical result could easily be assessed.