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- Lachlan F Miles, Shervin Tosif, Chong O Tan, Michael Fink, and Laurence Weinberg.
- From the Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
- A A Pract. 2019 Aug 15; 13 (4): 140-144.
AbstractGiant ovarian cystadenoma is a rare and often late presentation. The mass effect of such tumors can lead to profound respiratory and cardiovascular compromise, predominately through inferior vena cava compression, but also restriction of normal lung function through transdiaphragmatic mass effect and, as is seen in this case, cardiac tamponade. In this article, the authors outline an expedited program of preoperative optimization and a choreographed physiological assessment strategy to functionally assess the hemodynamic consequences of a giant ovarian mucinous neoplasm, thereby informing the safe conduct of anesthesia and surgery.
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