[Transesophageal echocardiography and intraoperative management of patients with renal cell carcinoma and rena cava extension].
OBJECTIVE
To evaluate the role of intraoperative real-time transesophageal echocardiography (TEE) for the anesthetic and surgical management of patients with renal cell carcinoma and vena cava extension.


METHODS
Retrospective analysis of the intraoperative application of TEE in a series of 4 patients.


RESULTS
Real-time TEE with a multiplane probe allowed visualization of inferior vena cava tumor extensions, accurate assessment of the distal extent of vena cava invasion into hepatic veins and right atrium, monitoring of embolism and evaluation of cardiac preload and function in all patients.


CONCLUSIONS
Intraoperative TEE is a useful adjunct to the anesthetic and surgical management of patients with renal cell carcinoma and vena cava extension.
Hüttemann
E
E
Klinik für Anästhesiologie und Intensivtherapie, Universitätskliniken, Friedrich-Schiller-Universität Jena. Egbert.Huettemann@med.uni-jena.de
Schelenz
C
C
Franke
U
U
Schlichter
A
A
Reinhart
K
K
D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging* / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000000981:diagnostic imaging; D006325:Heart Atria / Q000000981:diagnostic imaging; D006503:Hepatic Veins / Q000000981:diagnostic imaging; D006801:Humans; D007430:Intraoperative Care; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D012189:Retrospective Studies; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging* / Q000601:surgery*