Application of transesophageal echocardiography in removal of right atrial tumor thrombus of adrenal cortical carcinoma--a case report.
Surgical removal of adrenal cortical carcinoma complicated by intra-atrial tumor thrombus is very difficult and risky if the removal of thrombus is incomplete, leading possibly to pulmonary embolism. Application of multiplane transesophageal echocardiography during surgical operation may help notifying the size and location of tumor thrombus and also help determining the completeness of the thrombus removal. We present a case of successful removal of adrenal cortical carcinoma with tumor thrombus extension to the right atrium under comprehensive anesthetic care including continuous intraoperative transesophageal echocardiography monitoring.
Hsing
Chung-Hsi
CH
Department of Anesthesiology, Chi-Mei Medical Center, No. 901, Chung Hwa Road, Yung Kang City, 710 Tainan, Taiwan, R.O.C. hsing@mail.chimei.org.tw
Chen
Ying-Hui
YH
Chu
Chin-Chen
CC
Yeh
Fuh-Cheng
FC
So
Edmund C
EC
Hsu
Chi-Sing
CS
Wang
Jhi-Joung
JJ
D000306:Adrenal Cortex Neoplasms / Q000601:surgery*; D000328:Adult; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016343:Monitoring, Intraoperative; D014682:Vena Cava, Inferior