Continuous Right Radial Arterial Pressure Monitoring as a Guide to Dissection of a Thoracic Inlet Neurofibroma.
Excision of tumors in the thoracic inlet entail a risk of injury to subclavian vessels due to their close proximity. A right radial artery line can sensitively and continuously monitor the occurrence of right subclavian artery compression and warn the surgeon of its proximity and prevent injury. We describe a case of thoracic inlet tumor in a 12-year-old child, wherein the use of radial artery pressure monitoring guided the surgeon to separate the subclavian artery from the tumor to which it was adherent.
Indira Gandhi Institute of Child Health, Bangalore, India mnishtala@yahoo.com.
Madhavi Nishtala
MN
Ravindra
D062186:Arterial Pressure / Q000502:physiology; D001795:Blood Pressure Determination / Q000379:methods; D002648:Child; D006801:Humans; D008297:Male; D009455:Neurofibroma / Q000473:pathology / Q000601:surgery*; D017534:Radial Artery / Q000502:physiology; D013348:Subclavian Artery / Q000293:injuries*; D013899:Thoracic Neoplasms / Q000473:pathology / Q000601:surgery*; D057772:Vascular System Injuries / Q000209:etiology / Q000517:prevention & control
children; intraoperative assessment; radial arterial pressure monitoring; subclavian artery injury; thoracic inlet surgery