[Anesthetic management of a patient with hepatocellular carcinoma with tumor thrombosis extending into the right atrium].
We report a patient with hepatocellular carcinoma whose tumor thrombus was extending into the right atrium. A 55-year-old man underwent extended anterior segmental hepatectomy and removal of the tumor thrombus in the right atrium under cardiopulmonary bypass and general anesthesia using sevoflurane, nitrous oxide and oxygen. End-tidal carbon dioxide was closely monitored to detect pulmonary tumor emboli during the surgery. Intravenous fluid and blood transfusion in large volumes were necessary to avoid circulatory derangement.
Kusumoto
Go
G
Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
Mizukami
Satoshi
S
Higa
Kazuo
K
D000768:Anesthesia, General / Q000379:methods*; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D006325:Heart Atria / Q000473:pathology; D006338:Heart Neoplasms / Q000473:pathology*; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D014682:Vena Cava, Inferior / Q000473:pathology