Unusual cause of intraoperative hypotension diagnosed with transoesophageal echocardiography in a patient with renal cell carcinoma.
Transoesophageal echocardiography (TOE) is not commonly used in the management of non-cardiac cases. We report a case where the use of TOE played a major role in the intraoperative diagnosis and subsequent management of a patient exhibiting severe hypotension whilst undergoing a nephrectomy. The rare diagnosis of a secondary intraventricular tumour would not have been evident with more conventional monitoring techniques.
Plowman
A N
AN
Department of Anaesthesia, Geelong Hospital, Victoria.
Bolsin
S N
SN
Patrick
A J
AJ
D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000556:secondary*; D006352:Heart Ventricles; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D007431:Intraoperative Complications / Q000209:etiology*; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged