[The usefulness of intraoperative TEE monitoring in a patient with renal cell carcinoma].
A 55-year-old man was admitted to our hospital for treatment of renal cell carcinoma. Preoperative MRI showed infradiaphragmatic extension of the tumor thrombus. However, intraoperative transesophageal echocardiography (TEE) revealed intracardiac extension of the thrombus. Therefore, the tumor thrombus was extirpated under cardiopulmonary bypass. The patient recovered without any complications. Intraoperative TEE monitoring is useful not only for the evaluation of cardiac functions but also for intraoperative diagnosis of a tumor thrombus during the operation for renal cell carcinoma.
Edanaga
Mitsutaka
M
Department of Anesthesiology, Sapporo Medical University, School of Medicine, Sapporo 060-8543.
Yoshida
Shin-ichiro
S
Nakayama
Masayasu
M
Kanaya
Noriaki
N
Namiki
Akiyoshi
A
D002292:Carcinoma, Renal Cell / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D017548:Echocardiography, Transesophageal; D006325:Heart Atria; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D009360:Neoplastic Cells, Circulating; D016896:Treatment Outcome