Anesthetic management of renal cell carcinoma with inferior vena caval extension

Chan, F.; Ngan Kee, W.D.; Low, J.M.

Journal of Clinical Anesthesia 13(8): 585-587


ISSN/ISBN: 0952-8180
PMID: 11755329
DOI: 10.1016/s0952-8180(01)00335-x
Accession: 045256599

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We present a case of a patient with renal cell carcinoma extending into the inferior vena cava. Preoperative diagnosis was facilitated by transthoracic and transesophageal echocardiography (TEE), and inferior venacavography. Intraoperatively, monitoring with continuous TEE was used. Preparation was made for cardiopulmonary bypass but surgery was successfully completed using extracorporeal venous shunting. We discuss the important aspects of preoperative diagnosis and the intraoperative anesthetic management of this case.