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Case Reports
Transesophageal echocardiography diagnosis of tricuspid obstruction by a vena cava tumour.
- Y Blanloeil, C Le Roux, J C Rigal, Y Le Teurnier, and P Chaillou.
- Service d'Anesthésie et de Réanimation Chirurgicale, H pital G et R Laënnec, CHU Nantes, France. yvonnick.blanloeil@chu-nantes.fr
- Can J Anaesth. 2001 Apr 1;48(4):401-4.
PurposeTo present the anesthetic management for excision of a primary tumour of the inferior vena cava.Clinical FeaturesResection 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 transtumoral clamping. During the immediate postoperative period, tricuspid obstruction was suspected when a "cannon a wave" was recorded from the right atrial pressure curve. Transesophageal echocardiography confirmed the diagnosis of tumour obstruction of the tricuspid valve.ConclusionTricuspid obstruction due to postoperative mobilization of a primary tumour of the inferior vena cava was diagnosed by transesophageal echocardiography. Perioperative management particularities of the primary tumour of the vena cava are discussed.
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