Neustein S M, Cohen E, Reich D, Kirschner P
Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029.
Can J Anaesth. 1993 Jul;40(7):664-6. doi: 10.1007/BF03009703.
A 41-yr-old woman with pulmonary carcinoid tumour presented for thoracotomy and lung resection. However, intraoperative transoesophageal echocardiography (TEE) revealed that the tumour had invaded the left atrium, and the planned resection was aborted to allow resection under cardiopulmonary bypass at a later date. Although the incidence of cardiac involvement by lung cancer at the time of pulmonary resection is unknown, transoesophageal echocardiography can be useful in identifying the extension of hilar lung tumours. This should preferentially be done preoperatively, but can be done intraoperatively as described in this case report.
一名41岁患有肺类癌肿瘤的女性患者前来接受开胸手术和肺切除术。然而，术中经食管超声心动图（TEE）显示肿瘤已侵犯左心房，原计划的切除术中止，以便日后在体外循环下进行切除。尽管肺切除时肺癌累及心脏的发生率尚不清楚，但经食管超声心动图有助于识别肺门部肺肿瘤的扩展情况。这最好在术前进行，但如本病例报告所述，也可在术中进行。
