Anesthetic Management for Liver Segmentectomy and Thrombectomy of Inferior Vena Cava and Right Atrium without Cardiopulmonary Bypass : A case report

Song, Jang Ho; Lee, Hong Sik; Han, Jung Uk; Jung, Jong Kwon; Kim, Hyun Zu; Shinn, Helen Ki

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2007;2(4):224-227.
Published online October 30, 2007.

Anesthetic Management for Liver Segmentectomy and Thrombectomy of Inferior Vena Cava and Right Atrium without Cardiopulmonary Bypass : A case report

Jang Ho Song, Hong Sik Lee, Jung Uk Han, Jong Kwon Jung, Hyun Zu Kim, Helen Ki Shinn

Department of Anesthesiology and Pain Medicine, Inha University Hospital, College of Medicine, Inha University, Incheon, Korea. helen318@medimail.co.kr

Abstract

The tumor thrombus of hepatocellular carcinoma extending into the right atrium (RA) via the inferior vena cava (IVC) may cause fatal complications such as heart failure and pulmonary embolism. Surgery for removal of thrombus in the RA usually needs aid of cardiopulmonary bypass (CPB). We report a case of successful anesthetic management for simultaneous liver segmentectomy and IVC and RA thrombectomy without CPB.

Key Words: cardiopulmonary bypass, hepatocellular carcinoma, inferior vena cava, right atrium, tumor thrombus