Journal of Perioperative Echocardiography

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

CASE REPORT

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

Devishree Das, Sambhunath Das

Keywords : Embolization, Inferior vena cava, Intraoperative, Leiomyosarcoma, Transesophageal echocardiography

Citation Information : Das D, Das S. 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; Jaypee Brothers Medical Publishers (P) Ltd.


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.


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