title: Transesophageal echocardiography diagnosis of tricuspid obstruction by a vena cava tumour.
abstract: 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.
authors.affiliation: Service d'Anesthésie et de Réanimation Chirurgicale, H pital G et R Laënnec, CHU Nantes, France. yvonnick.blanloeil@chu-nantes.fr
authors.forename: Y
authors.initials: Y
authors.lastname: Blanloeil
authors.forename: C
authors.initials: C
authors.lastname: Le Roux
authors.forename: J C
authors.initials: JC
authors.lastname: Rigal
authors.forename: Y
authors.initials: Y
authors.lastname: Le Teurnier
authors.forename: P
authors.initials: P
authors.lastname: Chaillou
mesh_terms: 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