Citation Information :
Mital T, Francis J, Hasija S, Reddy PR. Role of Transesophageal Echocardiography in “Off-pump” Inferior Vena Cava Thrombectomy Associated with Renal Cell Carcinoma: A Case Report. J Perioper Echocardiogr 2021; 9 (2):41-44.
The treatment for renal cell carcinoma (RCC), with tumor thrombus extending into the supradiaphragmatic inferior vena cava (IVC) and right atrium (RA), is IVC thrombectomy with radical nephrectomy. Intraoperative transesophageal echocardiography (TEE) plays a vital role in such cases and is essential for accurate surgical planning. TEE aids in defining tumor mobility, adherence, and fragility, assessing adequacy of tumor removal, placement of central venous catheter (CVC), and continuous hemodynamic monitoring. We present a case of RCC with supradiaphragmatic extension of IVC thrombus where real-time TEE imaging was pivotal in changing the operative approach to the tumor thrombus and averting cardiopulmonary bypass (CPB) and its antecedent complications.
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