右心房转移性肝细胞癌致麻醉诱导时右心室流出道梗阻1例报告。

S. Peng, Chih-Cheng Wu, Chung-Pei Chang, S. Peng, W. Ho
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引用次数: 2

摘要

转移至右心房的肝细胞癌(HCC)很少发生,可导致致命的围手术期并发症。1例61岁女性,因右侧心房肿瘤疑似转移性肝细胞癌,在麻醉诱导下,肿瘤突然从右心房壁突出,陷入右心室。右心室流出道梗阻发生后,经食管超声心动图迅速诊断。现场紧急进行体外循环,手术顺利完成。在此,我们讨论了该事件的可能原因,并建议在面对这种危险的手术时应特别注意麻醉技术和采取适当的预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Metastatic hepatocellular carcinoma of the right atrium causing right ventricular outflow tract obstruction during induction of anesthesia--a case report.
Metastatic hepatocellular carcinoma (HCC) to the right atrium occurs rarely and may lead to lethal perioperative complications. A 61-year-old female who was about to undergo operation for resection of a right intraatrial tumor thought possibly to be metastatic hepatocellular carcinoma met with sudden protrusion of the tumor from the right atrial wall that sank into the right ventricle during induction of anesthesia. Right ventricular outflow tract obstruction developed and was quickly diagnosed by transesophageal echocardiography. Emergent cardiopulmonary bypass was rushed on the spot and the surgery was completed smoothly. Here we discuss the possible causes of the event and we recommend that special attention should be paid to the anesthetic techniques and proper precaution should be taken in the face of such a risky surgery.
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