Anesthetic Management for Liver Segmentectomy and Thrombectomy of Inferior Vena Cava and Right Atrium without Cardiopulmonary Bypass : A case report.
- Author:
Jang Ho SONG
1
;
Hong Sik LEE
;
Jung Uk HAN
;
Jong Kwon JUNG
;
Hyun Zu KIM
;
Helen Ki SHINN
Author Information
1. Department of Anesthesiology and Pain Medicine, Inha University Hospital, College of Medicine, Inha University, Incheon, Korea. helen318@medimail.co.kr
- Publication Type:Case Report
- Keywords:
cardiopulmonary bypass;
hepatocellular carcinoma;
inferior vena cava;
right atrium;
tumor thrombus
- MeSH:
Carcinoma, Hepatocellular;
Cardiopulmonary Bypass*;
Heart Atria*;
Heart Failure;
Liver*;
Mastectomy, Segmental*;
Pulmonary Embolism;
Thrombectomy*;
Thrombosis;
Vena Cava, Inferior*
- From:Anesthesia and Pain Medicine
2007;2(4):224-227
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The tumor thrombus of hepatocellular carcinoma extending into the right atrium (RA) via the inferior vena cava (IVC) may cause fatal complications such as heart failure and pulmonary embolism. Surgery for removal of thrombus in the RA usually needs aid of cardiopulmonary bypass (CPB). We report a case of successful anesthetic management for simultaneous liver segmentectomy and IVC and RA thrombectomy without CPB.