Journal of Perioperative Echocardiography

Register      Login

VOLUME 7 , ISSUE 2 ( July-December, 2019 ) > List of Articles

CASE REPORT

Resection of Inferior Vena Cava Leiomyosarcoma: Transesophageal Echocardiography Salvaged from Wreckage

Citation Information : Resection of Inferior Vena Cava Leiomyosarcoma: Transesophageal Echocardiography Salvaged from Wreckage. J Perioper Echocardiogr 2019; 7 (2):36-39.

DOI: 10.5005/jp-journals-10034-1102

License: CC BY-NC 4.0

Published Online: 01-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Intraoperative transesophageal echocardiography (TEE) examination has evolved in cardiac and major vascular surgeries. It is not only useful in guiding hemodynamic interventions but also useful in surgical decision-making. It is necessary for the detection of intracardiac mass. Primary leiomyosarcoma confined to inferior vena cava (IVC) and without cardiac extension entails en bloc excision which seldom requires intracardiac exploration unless embolization. The embolization of the tumor causes hemodynamic alteration and can be confirmed by perioperative TEE evaluation. We are reporting a case where TEE salvaged from the wreckage by converting an extracardiac vascular procedure to intracardiac exploration under cardiopulmonary bypass.


HTML PDF Share
  1. Mingoli A, Cavallaro A, Sapienza P, et al. International registry of inferior vena cava leiomyosarcoma: analysis of a world series on 218 patients. Anticancer Res 1996;16:3201–3205.
  2. Kulaylat MN, Karakousis CP, Doerr RJ, et al. Leiomyosarcoma of the inferior vena cava. J Surg Oncol 1997;65(3):205–217. DOI: 10.1002/(SICI)1096-9098(199707)65:3<205::AID-JSO11>3.0.CO;2-2.
  3. Hollenbeck ST, Grobmyer SR, Kent KC, et al. Surgical treatment and outcomes of patients with primary inferior vena cava leiomyosarcoma. J Am Coll Surg 2003;197(4):575–579. DOI: 10.1016/S1072-7515(03)00433-2.
  4. Perl L. Ein fall von sarkom der vena cava inferior. Virchows Arch F Path Anat 1871;53(4):378. DOI: 10.1007/BF01957198.
  5. Melchior E. Sarkom der vena cava inferior. Dtsch Eitschrift Chirurgie 1928;213(1-2):135–140. DOI: 10.1007/BF02796714.
  6. Gaignard E, Bergeat D, Robin F, et al. Inferior vena cava leiomyosarcoma: what method of reconstruction for which type of resection? World J Surg 2020;44(10):3537–3544. DOI: 10.1007/s00268-020-05602-2.
  7. Miles LF, Hu R, Jones RM, et al. Inferior vena cava resection and hemi hepatectomy for leiomyosarcoma, utilizing cardiopulmonary bypass, in situ hepatic perfusion, and distal hypothermic circulatory arrest. J Cardiothorac Vasc Anesth 2016;30(No 1):169–175. DOI: 10.1053/j.jvca.2015.01.030.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.