Anesth Pain Med.  2007 Oct;2(4):224-227.

Anesthetic Management for Liver Segmentectomy and Thrombectomy of Inferior Vena Cava and Right Atrium without Cardiopulmonary Bypass : A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Inha University Hospital, College of Medicine, Inha University, Incheon, Korea. helen318@medimail.co.kr

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.

Keyword

cardiopulmonary bypass; hepatocellular carcinoma; inferior vena cava; right atrium; tumor thrombus

MeSH Terms

Carcinoma, Hepatocellular
Cardiopulmonary Bypass*
Heart Atria*
Heart Failure
Liver*
Mastectomy, Segmental*
Pulmonary Embolism
Thrombectomy*
Thrombosis
Vena Cava, Inferior*
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