Transesophageal echocardiography diagnosis of tricuspid obstruction by a vena cava tumour.
OBJECTIVE
To present the anesthetic management for excision of a primary tumour of the inferior vena cava.


METHODS
Resection 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.


CONCLUSIONS
Tricuspid 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.
Blanloeil
Y
Y
Service d'Anesthésie et de Réanimation Chirurgicale, H pital G et R Laënnec, CHU Nantes, France. yvonnick.blanloeil@chu-nantes.fr
Le Roux
C
C
Rigal
J C
JC
Le Teurnier
Y
Y
Chaillou
P
P
D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D014264:Tricuspid Valve Stenosis / Q000000981:diagnostic imaging*; D019043:Vascular Neoplasms / Q000150:complications / Q000601:surgery*; D014682:Vena Cava, Inferior