Chan F, Ngan Kee W D, Low J M
Department of Anaesthesia & Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
J Clin Anesth. 2001 Dec;13(8):585-7. doi: 10.1016/s0952-8180(01)00335-x.
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.
我们报告一例肾细胞癌侵犯下腔静脉的患者。经胸和经食管超声心动图（TEE）及下腔静脉造影有助于术前诊断。术中使用连续TEE进行监测。已做好体外循环准备，但通过体外静脉分流术成功完成了手术。我们讨论了该病例术前诊断及术中麻醉管理的重要方面。
