title: Application of transesophageal echocardiography in removal of right atrial tumor thrombus of adrenal cortical carcinoma--a case report.
abstract: 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.
authors.affiliation: 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
authors.forename: Chung-Hsi
authors.initials: CH
authors.lastname: Hsing
authors.forename: Ying-Hui
authors.initials: YH
authors.lastname: Chen
authors.forename: Chin-Chen
authors.initials: CC
authors.lastname: Chu
authors.forename: Fuh-Cheng
authors.initials: FC
authors.lastname: Yeh
authors.forename: Edmund C
authors.initials: EC
authors.lastname: So
authors.forename: Chi-Sing
authors.initials: CS
authors.lastname: Hsu
authors.forename: Jhi-Joung
authors.initials: JJ
authors.lastname: Wang
mesh_terms: 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